Individual
KIMBERLY BOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, WIG MAKER
Contact information
Practice address
8139 OLD TROY PIKE, SUITE #1007, HUBER HEIGHTS, OH 45424
(937) 663-2971
Mailing address
2341 EQUESTRIAN DR APT 1A, MIAMISBURG, OH 45342-5629
(937) 663-2971
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
138614
OH
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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