Individual
KIMBERLY A BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 HIGH STREET, WADSWORTH, OH 44281
(330) 335-7337
Mailing address
1225 HIGH STREET, WADSWORTH, OH 44281
(330) 335-7337
(330) 334-8309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-07-6807
OH
208000000X
Pediatrics Physician
35076807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2255152
—
OH
Enumeration date
06/29/2006
Last updated
03/16/2012
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