Individual
KIMBERLY ANN CHRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5759 OREGON RD, CELINA, OH 45822-8405
(419) 363-3574
Mailing address
5759 OREGON RD, CELINA, OH 45822-8405
(419) 363-3574
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
5401628
OH
376J00000X
Homemaker
Primary
5401628
OH
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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