Individual
KELLY MARIE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
4209 STATE ROUTE 44, ROOTSTOWN, OH 44272-9698
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
57.254633
OH
Other
Enumeration date
03/14/2022
Last updated
06/01/2024
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