Individual
KIMBERLY BALTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1 WYOMING ST FL 3, DAYTON, OH 45409-2722
(937) 223-4461
Mailing address
3170 KETTERING BLVD BLDG B2ND, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
COA.14740-NS
OH
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
COA.14740-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091249
—
OH
Enumeration date
08/27/2013
Last updated
02/11/2025
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