Healthcare Provider Details

I. General information

NPI: 1336088954
Provider Name (Legal Business Name): KIMBERLY ANNE ACH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 VINE ST
CINCINNATI OH
45219-2068
US

IV. Provider business mailing address

13144 PARKWAY RD
POUND WI
54161-8817
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1115798-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: