Most Relevant Information
Provider Data
| NPI Number: | 1003046053 |
| Provider Name: | KIMBERLY PORTER MOSLEY RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN 192963 |
Most Important Dates
| Enumeration Date: | 07/23/2009 |
| Last Updated: | 07/23/2009 |
Provider Practice Location
5465 MAIN ST
SYLVANIA
OH
435602155
Practice Location Phone/Fax
| Phone: | 4198858800 |
| Fax: | 4198858600 |
Provider Mailing Location
5465 MAIN ST
SYLVANIA
OH
435602155
Provider Mailing Phone/Fax
| Phone: | 4198858800 |
| Fax: | 4198858600 |