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1821593286 NPI number — KIMBERLE SUE REGAN

NPI Number: 1821593286
Health Care Provider/Practitioner: KIMBERLE SUE REGAN

Information about “1821593286” NPI (KIMBERLE SUE REGAN) exists in 1821593286 in HTML format HTML  |  1821593286 in plain Text format TXT  |  1821593286 in PDF (Portable Document Format) PDF  |  1821593286 in an XML format XML  formats.

NPI Number : 1821593286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821593286",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REGAN",
    "FirstName": "KIMBERLE",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WOHLFEIL",
    "OtherFirstName": "KIM",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "231 ALBERT SABIN WAY, MSB 1654, ML 0769",
    "SecondLineMailingAddress": "UC EMERGENCY MEDICINE",
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45267-0769",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-558-5281",
    "MailingAddressFaxNumber": "513-558-5791",
    "FirstLinePracticeLocationAddress": "234 GOODMAN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45219-0796",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-558-5281",
    "PracticeLocationAddressFaxNumber": "513-558-5791",
    "EnumerationDate": "03/28/2018",
    "LastUpdateDate": "03/28/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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