Individual
KIMBERLY TROXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
COA.09474-NP
OH
363LP0200X
Pediatric Nurse Practitioner
COA.09474-NP
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
300607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
07/19/2007
Last updated
10/07/2016
Update your record
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