Search › Ohio › 3747P1801X
Kimberly Lade
NPI 1932090495 · on the registry since 2025 · sole proprietor
Practice
- Address
- 965 Grove Hill Dr
Beavercreek, OH 45434 - Phone
- (937) 475-4110
- Organisation at this address
- Tklegacy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 172A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio