Individual
MS. KIMBERLY DAWN SPEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1097 W LOCUST ST, WILMINGTON, OH 45177-2006
(937) 556-6083
Mailing address
1097 W LOCUST ST, WILMINGTON, OH 45177-2006
(937) 725-4422
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.228204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.228204
RN LICENSE NUMBER
OH
Enumeration date
03/02/2018
Last updated
03/02/2018
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