Individual
KIMBERLY BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3130 GLENDALE AVE, TOLEDO, OH 43614
(419) 383-3815
(419) 383-3098
Mailing address
PO BOX 3355, 3RD FLOOR, TOLEDO, OH 43607-0355
(419) 383-4460
(419) 383-3159
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099356
—
OH
Enumeration date
08/31/2011
Last updated
05/09/2016
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