Individual
MRS. LINDA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN -BC PMHNP-BC
Contact information
Practice address
675 HOBBY HORSE LN, MILFORD, OH 45150-1461
(513) 443-1700
(855) 919-6229
Mailing address
4336 ORCHARDVIEW DR SE, EAST CANTON, OH 44730-9513
(330) 488-6083
(330) 488-6083
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN192334
OH
363LA2200X
Adult Health Nurse Practitioner
RN192334
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN192334-07560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2958456
—
OH
Enumeration date
07/21/2007
Last updated
04/11/2022
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