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1184168247
KIMBERLY GASTENVELD
COVINGTON, KY
NPI
1184168247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010950)
Enumeration Date
2016-12-08
Last Update Date
2021-03-15
Business Address
KIMBERLY GASTENVELD
1401 MADISON AVE
COVINGTON, KY 41011-3313
Phone number: 859-655-6100
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Mailing Address
KIMBERLY GASTENVELD
215 E 11TH ST
NEWPORT, KY 41071-2203
Phone number: 859-655-6100
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