Individual
MRS. KIMBERLY KAY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 GILBERT RD., RAVENNA, OH 44266
(330) 219-3194
Mailing address
9050 GILBERT RD., RAVENNA, OH 44266
(330) 219-3194
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
347E00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2539006
—
OH
Enumeration date
04/12/2007
Last updated
07/09/2007
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