Individual
KIMBERLY F MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 NUNNER RD, MAINEVILLE, OH 45039-8515
(513) 227-5710
Mailing address
370 NUNNER RD, MAINEVILLE, OH 45039-8515
(513) 227-5710
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222563
—
OH
Enumeration date
09/29/2020
Last updated
09/29/2020
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