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Individual

KIMBERLY MICHELLE ZELASKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP

Contact information

Practice address
59 GRANT ST, NEWARK, OH 43055-3939
(740) 404-3446
Mailing address
29 W NORTH BROADWAY ST, COLUMBUS, OH 43214-4015
(614) 477-0514

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
363810
OH
163WH0200X
Home Health Registered Nurse
363810
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0033029
OH

Other

Enumeration date
11/02/2012
Last updated
11/05/2024
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