Khosla, Kimberly Cook

Khosla, Kimberly Cook is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404-2070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khosla, Kimberly Cook can be contacted via phone (937) 641-4000.

Contact Information

Primary practice address
1010 Valley St Dayton OH 45404-2070
Fax: (937) 641-4500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35073226 Ohio

Profile Details

NPI number 1659358596
LBN Legal business name Khosla, Kimberly Cook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659358596 NPPES
Other 000000360983 ANTHEM
MEDICAID 2429894 ANTHEM
Other 522374873030 ANTHEM
Other D7322604 ANTHEM
Other 11443924 ANTHEM
Other 7956655 ANTHEM
Other 1205294 ANTHEM

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