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Individual

MRS. KIMBERLY KAY JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4974 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9525
(937) 935-9066
Mailing address
4974 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9525
(937) 935-9066

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
RK174265
OH
3747P1801X
Personal Care Attendant
Primary
OH

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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