Individual
KIMBERLY ANN WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
120 INFIRMARY RD, DAYTON, OH 45417-8703
(937) 515-7094
Mailing address
120 INFIRMARY RD, DAYTON, OH 45417-8703
(937) 515-7094
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS004860
OH
Other
Enumeration date
04/15/2024
Last updated
05/30/2024
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