MEDICARE: KIMBERLY KNABLE

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
1	227900000X	Registered Respiratory Therapist	RCP1004	OH

General Provider Information

NPI Number	:	1033545256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY KNABLE

Provider Business Mailing Address
First Line	:	9452 ISLAND RD
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-4408
Country	:	US
Telephone Number	:	440-748-3964
Fax Number	:

Provider Business Practice Location Address
First Line	:	9452 ISLAND RD
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-4408
Country	:	US
Telephone Number	:	440-748-3964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	09/19/2013

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Directions to “ KIMBERLY KNABLE ” Practice Location

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