Individual
MS. KIMBERLY ANN GRINDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSTO
Contact information
Practice address
193 DEEPWOOD DR, WADSWORTH, OH 44281-9437
(330) 331-7120
Mailing address
193 DEEPWOOD DR, WADSWORTH, OH 44281-9437
(330) 331-7120
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2912512
—
OH
Enumeration date
04/22/2009
Last updated
04/22/2009
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