Individual
DR. KIMBERLY FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBA
Contact information
Practice address
2120 FALLS AVE UPPR, CUYAHOGA FALLS, OH 44223-1973
(440) 810-0670
Mailing address
2120 FALLS AVE UPPR, CUYAHOGA FALLS, OH 44223-1973
(440) 810-0670
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
7718936
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378480
—
OH
Enumeration date
11/22/2019
Last updated
11/22/2019
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