Provider Demographics
NPI:1891948352
Name:NOBLE, DARLENE KAY
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:KAY
Last Name:NOBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2688 UPPER 5 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-9607
Mailing Address - Country:US
Mailing Address - Phone:937-444-0640
Mailing Address - Fax:
Practice Address - Street 1:2688 UPPER 5 MILE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-9607
Practice Address - Country:US
Practice Address - Phone:937-444-0640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor