Individual
KELLY ANN KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17748 ROCK CREEK RD LOT 46, THOMPSON, OH 44086-9762
(440) 298-1315
Mailing address
17748 ROCK CREEK RD LOT 46, THOMPSON, OH 44086-9762
(440) 298-1315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN338503
OH
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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