Individual
KIMBERLY WAYNE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5560 EDGER DR, CINCINNATI, OH 45239-7293
(513) 291-9353
Mailing address
5560 EDGER DR, CINCINNATI, OH 45239-7293
(513) 291-9353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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