Individual
MRS. KIMBERLY HACKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
9860 WEST RD, HARRISON, OH 45030-1929
(513) 728-8445
Mailing address
9860 WEST RD, HARRISON, OH 45030-1929
(513) 728-8445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21128155
OH
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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