Individual
MS. KIMBERLEE SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN II
Contact information
Practice address
2136 W 8TH ST, CINCINNATI, OH 45204-2052
(513) 357-2808
Mailing address
2136 W 8TH ST, CINCINNATI, OH 45204-2052
(513) 357-2808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502834
—
OH
05
—
0580027
—
OH
Enumeration date
10/21/2008
Last updated
10/21/2008
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