Individual
MRS. KIMBERLY ANN LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 S BEECHGROVE RD, WILMINGTON, OH 45177-9118
(937) 725-8410
Mailing address
1417 S BEECHGROVE RD, WILMINGTON, OH 45177-9118
(937) 725-8410
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
31005701
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105206
—
OH
Enumeration date
09/10/2020
Last updated
10/14/2020
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