Individual
DR. KIM RONALD ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
86 COLUMBUS RD STE 203, ATHENS, OH 45701-1331
(740) 331-6910
Mailing address
1915 STARGRASS AVE, GROVE CITY, OH 43123-9472
(614) 277-0953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-008410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549737
—
OH
Enumeration date
03/16/2006
Last updated
11/09/2023
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