| Doctor Name: | KIMBERLY KAY MYERS |
| NPI Number: | 1003258773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | COA-14823-NP |
| Business Practice Address: | 240 W Elmwood Dr Suite 1000 Dayton, OH - 454594296 |
| Business Phone Number: | 9372248200 |
| Business Fax Number: | 9372241770 |
| Mailing Address: | 240 W Elmwood Dr, Suite 1000 DAYTON |
| State: | OH |
| Postal Code: | 454594296 |
| Phone Number: | 9372248200 |
| Fax Number: | 9372241770 |
| NPI Enumeration Date: | 07/23/2013 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | COA-14823-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |