| NPI | 1134107386 |
|---|---|
| Former Name | KIMBERLY LYNNETTE REGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-08367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA08367NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.279959) | |
| Enumeration Date | 2006-01-07 |
| Last Update Date | 2022-01-25 |