Kimberly Ann Dewalt

NPI #1588251425 in Fremont, Ohio

Provider Information

NPI Number: 1588251425
Entity Type: Individual
Name: Kimberly Ann Dewalt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Dec 27, 2020
Last Updated: Dec 27, 2020

Practice Location

Address: 403 S WOOD ST
City: Fremont
State: Ohio
ZIP Code: 43420-2920
Phone: (567) 280-8525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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