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NPI Code Detail

MEDICARE: KIMBERLY KAISER

MEDICARE: KIMBERLY KAISER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA.04086OH

General Provider Information

NPI Number : 1881017515
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY KAISER
Provider Business Mailing Address
First Line : 1879 DEERFIELD RD
Second Line :
City : LEBANON
State : OH
Zip : 45036-8602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1879 DEERFIELD RD
Second Line :
City : LEBANON
State : OH
Zip : 45036-8602
Country : US
Telephone Number : 513-695-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2014
Last Update Date : 01/31/2014

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Directions to “ KIMBERLY KAISER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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