Individual
KIMBERLY BONVILLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4225
Mailing address
4068 DENNY LN, UNION, KY 41091-7551
(985) 414-0570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0035357
OH
363LF0000X
Family Nurse Practitioner
35357
OH
363LF0000X
Family Nurse Practitioner
4008581
KY
Other
Enumeration date
04/24/2011
Last updated
08/12/2024
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