Individual
KIMBERLY ANN BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10160 RAVENWOOD CT, STREETSBORO, OH 44241-4350
(330) 204-1056
Mailing address
10160 RAVENWOOD CT, STREETSBORO, OH 44241-4350
(330) 204-1056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
436474
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2416
—
OH
Enumeration date
08/06/2019
Last updated
08/06/2019
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