Individual
MRS. KIMBERLY KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4405 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-3529
(419) 517-0146
Mailing address
4405 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-3529
(419) 517-0146
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004653RX
OH
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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