Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35099952 | OH |
N | 207PP0204X | Pediatric Emergency Physician | 01065330A | IN |
N | 207PP0204X | Pediatric Emergency Physician | 11013279A | IN |
NPI | 1083816367 |
---|---|
Provider Name | Dr. Heather Kuhlenschmidt Jimenez |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 06/02/2013 |