Individual
KIMBERLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
301389
OH
363L00000X
Nurse Practitioner
COA.16213.NP
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
COA.16213.NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.16213.NP
OH
Other
Enumeration date
05/15/2014
Last updated
06/05/2017
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