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Contact Information

KIMBERLY S SPARKS, CRNA
1 CHILDRENS PLZ
DAYTON, OH45404-1815
 Phone: 937-641-3477
 Fax: 937-641-5410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for KIMBERLY S SPARKS · (Female)

NPI Number 1649279530
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/21/2005
Last updated 10/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CRNA.03816
  • IN Medicaid 200514510
  • OH Medicaid 2044291
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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