Individual
KIMBERLY ANN HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
297504
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
3006510
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201056380
—
IN
05
—
2547640
—
OH
05
—
7100133320
—
KY
Enumeration date
08/24/2005
Last updated
06/07/2023
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