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NPI Code Detail

MEDICARE: SANDRA HALL KESNER CNP

MEDICARE:   SANDRA HALL KESNER  CNP
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
1363LF0000XFamily Nurse PractitionerNP-00555OH
2363LW0102XWomen's Health Nurse PractitionerNP-00555OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00278761OTHEROHRAIL ROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1134177231
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA HALL KESNER CNP
Provider Business Mailing Address
First Line : 4760 E GALBRAITH RD
Second Line : STE 208
City : CINCINNATI
State : OH
Zip : 45236-6703
Country : US
Telephone Number : 513-686-2663
Fax Number : 513-686-3637
Provider Business Practice Location Address
First Line : 4760 E GALBRAITH RD
Second Line : STE 208
City : CINCINNATI
State : OH
Zip : 45236-6703
Country : US
Telephone Number : 513-686-2663
Fax Number : 513-686-3637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 09/07/2012

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Directions to “ SANDRA HALL KESNER CNP” Practice Location

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