Individual
KIMBERLY A KRISTOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
861 E 209TH ST, EUCLID, OH 44119-2405
(216) 548-6294
Mailing address
861 E 209TH ST, EUCLID, OH 44119-2405
(216) 548-6294
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0367443
—
OH
Enumeration date
07/23/2020
Last updated
05/28/2024
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