| NPI | 1740616010 |
|---|---|
| Former Name | KIMBERLY K BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2473) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003082A) |
| 363A00000X Physician Assistant (Licence: OH 003842) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-06-21 |