Individual
KIMBERLY R YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1320 E STATE ST, SUITE B, FREMONT, OH 43420-4365
(419) 332-6840
(419) 332-6929
Mailing address
1320 E STATE ST, SUITE B, FREMONT, OH 43420-4365
(419) 332-6840
(419) 332-6929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016520
OH
Other
Enumeration date
05/20/2008
Last updated
05/06/2015
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