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KIMBERLY RAE STUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
6847 N CHESTNUT ST, MEDICAL STAFF OFFICE, RAVENNA, OH 44266-3929
(330) 296-4165
(330) 297-8463
Mailing address
6847 N CHESTNUT ST, SUITE 300, RAVENNA, OH 44266-3929
(330) 296-4165
(330) 296-5536

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
353026-RN
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
15349-NP
OH

Other

Enumeration date
01/10/2014
Last updated
12/28/2020
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