Individual
KIMBERLY ANNE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7620 SOUTHERN BLVD, SUITE 3, BOARDMAN, OH 44512-5667
(330) 965-9330
(330) 965-9308
Mailing address
7620 SOUTHERN BLVD, SUITE 3, BOARDMAN, OH 44512-5667
(330) 965-9330
(330) 965-9308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP9491
SPEECH-LANGUAGE PATHOLOGIST
OH
Enumeration date
08/25/2009
Last updated
08/25/2009
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