Individual
MS. KIMBERLY MICHELLE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 RAND AVE, COLUMBUS, OH 43227-1132
(614) 725-2599
Mailing address
1151 RAND AVE, COLUMBUS, OH 43227-1132
(614) 725-2599
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
RT429907
OH
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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