Individual
KIMBERLY R SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
(614) 334-6903
Mailing address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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