Individual provider · Type 1 NPI

Kimberly Ann Lane

Pediatric Nurse Practitioner · Dayton, OH

NPI number 1245738210 Active

Practice location

1 Childrens Plz
Dayton, OH 45404-1873

Mailing address

7033 Hearthside Ct
Liberty Township, OH 45011-6593

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN.CNP.021536 (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1245738210

Kimberly Ann Lane's National Provider Identifier is 1245738210, issued on Jan 24, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dayton, OH. The record was last updated on Jan 24, 2018.