Individual
DR. KIMMY GOYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4879 US ROUTE 68 SOUTH, WEST LIBERTY, OH 43357
(937) 465-0080
Mailing address
427 KENT DR, APT 6, BELLEFONTAINE, OH 43311-9054
(937) 539-2216
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
57-013906
OH
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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