Organization
KIMBERLY ROYAL, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ROYAL D.O. (DOCTOR OF OSTEOPATHIC MEDICINE)
(419) 289-6357
Entity
Organization
Contact information
Practice address
1941 BANEY RD S, ASHLAND, OH 44805-4502
(419) 289-6357
Mailing address
PO BOX 72098, CLEVELAND, OH 44192-0002
(513) 557-3195
(513) 557-3347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-6532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053709
—
OH
01
—
282-68-4616
BWC
OH
Enumeration date
10/11/2007
Last updated
02/27/2009
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