Individual
DR. KIMBERLY GRACE WOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
340 E TOWN ST, SUITE 8-300, COLUMBUS, OH 43215-4600
(614) 553-8883
Mailing address
340 E TOWN ST, SUITE 8-300, COLUMBUS, OH 43215-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010190
OH
207R00000X
Internal Medicine Physician
OS015578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H017360
OHIO MEDICARE LEGACY
OH
Enumeration date
07/05/2008
Last updated
02/11/2013
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