Healthcare Provider Details

I. General information

NPI: 1154256071
Provider Name (Legal Business Name): KIMBERLY RENEE ABRAMS PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 MADISON PIKE
ERLANGER KY
41017-9413
US

IV. Provider business mailing address

2740 STATE ROUTE 232
BETHEL OH
45106-9451
US

V. Phone/Fax

Practice location:
  • Phone: 859-359-9445
  • Fax: 859-356-0386
Mailing address:
  • Phone: 859-359-9445
  • Fax: 859-356-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4059642
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: