Individual
MS. KIMBERLY SUE COSTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1467 FAWLER AVE, AKRON, OH 44314-1809
(330) 848-1012
Mailing address
1467 FAWLER AVE, AKRON, OH 44314-1809
(330) 848-1012
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
7712130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7712130
—
OH
Enumeration date
11/02/2020
Last updated
11/02/2020
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