Individual
MS. KIMBERLY HAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 898-8488
(216) 362-0677
Mailing address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 898-8488
(216) 362-0677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNOP.021776
OH
363L00000X
Nurse Practitioner
Primary
APRN9487876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257916
—
OH
05
—
100579900
—
FL
05
—
F08171203
—
OH
Enumeration date
09/26/2017
Last updated
04/27/2026
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