Individual
KIMBERLY NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 ROCKDALE AVE, CINCINNATI, OH 45229-2919
(513) 357-7382
Mailing address
1324 EVALIE DR, FAIRFIELD, OH 45014-3513
(513) 907-2965
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
51.011626
OH
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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