Individual
KIMBERLY ANN SCRIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2231 TIMBER TRL, BELLEFONTAINE, OH 43311-9036
(937) 292-3474
Mailing address
10273 MANTLE RD, ORIENT, OH 43146-9039
(216) 470-6272
(937) 592-5285
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12949
NH
208600000X
Surgery Physician
48610020
WI
208600000X
Surgery Physician
Primary
78371
OH
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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