Individual
KIMBERLY COOK KHOSLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 VALLEY ST, DAYTON, OH 45404-2070
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3555
(937) 641-4528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35073226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360983
ANTHEM
—
01
—
11443924
CAQH#
—
01
—
1205294
UHC
—
05
—
2429894
—
OH
01
—
522374873030
CARESOURCE
—
01
—
7956655
AETNA
—
01
—
D7322604
HUMANA
—
Enumeration date
12/30/2005
Last updated
12/31/2024
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