Provider Demographics
NPI:1700296902
Name:ARTHUR, KIMBERLY ANN (MSN, APRN, ACNS-BC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MSN, APRN, ACNS-BC
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:A
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, ACNS-BC
Mailing Address - Street 1:1172 PLEASANT CIR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-9602
Mailing Address - Country:US
Mailing Address - Phone:513-886-0697
Mailing Address - Fax:513-584-1678
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-584-8318
Practice Address - Fax:513-584-1678
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15785-NC364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health