Individual
MRS. KIMBERLY ANN CROGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
473 PHEASANT KNOLL CIR, WADSWORTH, OH 44281-2291
(330) 212-5709
Mailing address
473 PHEASANT KNOLL CIR, WADSWORTH, OH 44281-2291
(330) 212-5709
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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