Kimberly Lee Brocklehurst
CNP | Pediatrics | Female
Kimberly Lee Brocklehurst, CNP is a Lima, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kimberly Lee Brocklehurst is
1550 N Main St, Lima, Ohio - 45801-2823. She can be contacted on phone at
419-549-5982 and fax number 419-225-8878.
Kimberly Lee Brocklehurst is a sole proprietor of her business.
NPI number (Unique professional ID) for Kimberly Lee Brocklehurst is
1649748310 which was assigned by NPPES on 11 Nov, 2018 and it was last updated on 31 Jan, 2019.
Kimberly Lee Brocklehurst license number is
APRN.CNP.024119 for Pediatrics (208000000X) in Ohio.
Kimberly Lee Brocklehurst is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kimberly Lee Brocklehurst basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kimberly Lee Brocklehurst |
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| Credential : | CNP |
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| Gender : | Female |
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Business Address:
Kimberly Lee Brocklehurst address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1550 N Main St
Lima, OH, 45801-2823
United States |
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| Phone Number : | 419-549-5982 |
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| Fax Number : | 419-225-8878 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649748310 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Nov, 2018 |
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| Last Updated On : | 31 Jan, 2019 |
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Medicare Participation:
Kimberly Lee Brocklehurst participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2961740972 |
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| Medicare Enrollment ID : | I20190218002159 |
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| Primary Specialty : | Nurse Practitioner |
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| Medical School : | Other |
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| Graduation Year : | 2018 |
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| Accepts Medicare? | Yes. Kimberly Lee Brocklehurst accepts medicare insurance. |
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Group Practice Association:
Kimberly Lee Brocklehurst is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kimberly Lee Brocklehurst is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Health Partners Of Western Ohio | 9436139987 | 28 | 1550 N Main St
Lima, OH - 458012823
Ph: 4195160327 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Lee Brocklehurst are as mentioned. Primary taxonomy code for Kimberly Lee Brocklehurst, CNP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 163WE0003X | Registered Nurse Emergency | No | 313177 | OH |
| 208000000X | Pediatrics | No | ARRN.CNP.024119 | OH |
| 208000000X | Pediatrics | Yes | APRN.CNP.024119 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Kimberly Lee Brocklehurst such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| APRN.CNP.024119 | Other | OH | CERTFIED NURSE PRACTITIONER |
| 3131777 | Other | OH | REGISTEREC NURSE |
| APRN.CNP.024119 | Other | OH | CERTIFIED NURSE PRACTITIONER |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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730 W MARKET ST,
LIMA, OH, 45801-4602
United States | LIMA, OH | 419-226-9442 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1550 N Main St
Lima, OH, 45801-2823
United States |
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| Phone Number : | 419-549-5982 |
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| Fax Number : | 419-225-8878 |
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Business Location:
Patients can refer following map for directions to
Kimberly Lee Brocklehurst practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.