Individual
NICHOLE M KIMMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3841
(614) 722-4203
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4203
(614) 722-4203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN325686
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA13040NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060309
—
OH
Enumeration date
12/28/2011
Last updated
02/04/2022
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