Individual
KIMBERLY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
324 WILMINGTON AVE, DAYTON, OH 45420-1890
(937) 256-4490
(937) 258-5478
Mailing address
324 WILMINGTON AVE, DAYTON, OH 45420-1890
(937) 256-4490
(937) 258-5478
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 08489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642680
—
OH
Enumeration date
03/14/2007
Last updated
12/09/2013
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