Individual
LORAN KIMBERLY BIELEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003277
OH
363A00000X
Physician Assistant
Primary
TC139
KY
363AS0400X
Surgical Physician Assistant
50.003227
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072074
—
OH
Enumeration date
01/31/2011
Last updated
04/02/2024
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