Individual
KIMBERLY SUZANNE CHURBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27089 BAGLEY RD, OLMSTED TWP, OH 44138-1103
(440) 234-4700
Mailing address
4305 JOHN AVE, CLEVELAND, OH 44113-3281
(330) 962-9033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
130218
OH
Other
Enumeration date
04/01/2013
Last updated
07/13/2021
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