Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRNCNP022873 | OH |
NPI | 1003392283 |
---|---|
Provider Name | Kimberly Sue Bates |
First Address | Findlay, OH 45840-9773 |
Second Address | Findlay, OH 45840-9773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2018 |
Last Update Date | 10/05/2019 |