KIMBERLY RENEE ROSE NPI 1952769010

NPI Information

NPI: 1952769010
Provider Name: KIMBERLY RENEE ROSE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: THE LITTLE CLINIC OF OHIO LLC

PECOS Registration: Yes

Address:
2115 E DOROTHY LN
KETTERING, OH
ZIP 45420
Phone: (937) 610-9174
Get Directions

Kimberly Renee Rose is a family nurse practitioner in Kettering, OH with 9 years of experience. Kimberly Renee Rose NPI is 1952769010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2115 E DOROTHY LN
KETTERING, OH
ZIP 45420-176
Phone: (937) 610-9174

The NPI 1952769010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 3/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	COA.18450-NP	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.18450	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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