Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Sue Provo, DSP

Individual provider Case Manager/Care Coordinator · NPI 1447086103

Kimberly Sue Provo, DSP is a Case Manager/Care Coordinator in Worthington, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
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Practice location Address checks out

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone: (614) 844-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)

Record details

NPI number1447086103
Entity typeIndividual (Type 1)
GenderFemale
Credentials DSP
Sole proprietorYes
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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