Most Relevant Information
Provider Data
| NPI Number: | 1003497389 |
| Provider Name: | KIMBERLY HOMMES LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 158479 |
Most Important Dates
| Enumeration Date: | 04/18/2021 |
| Last Updated: | 04/18/2021 |
Provider Practice Location
4903 DUNSMORE AVE
ASHTABULA
OH
440046542
Practice Location Phone/Fax
| Phone: | 4408128689 |
| Fax: |
Provider Mailing Location
4903 DUNSMORE AVE
ASHTABULA
OH
440046542
Provider Mailing Phone/Fax
| Phone: | 4408128689 |
| Fax: |