Individual
KIMBERLY S SHROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 E LILLEY AVE, HILLSBORO, OH 45133-1417
(937) 509-2434
Mailing address
105 E LILLEY AVE, HILLSBORO, OH 45133-1417
(937) 509-2434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
419495
OH
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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