Individual
KIMBERLEE THERESE KOHLHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W MAPLE ST, LIBERTY CENTER, OH 43532-9795
(419) 591-9445
Mailing address
313 W MAPLE ST, LIBERTY CENTER, OH 43532-9795
(419) 591-9445
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105151
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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