Most Relevant Information
Provider Data
| NPI Number: | 1003586389 |
| Provider Name: | MELISSA S KIMBLE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2021 |
| Last Updated: | 09/17/2021 |
Provider Practice Location
104 JAVIT CT
AUSTINTOWN
OH
445152439
Practice Location Phone/Fax
| Phone: | 3303858800 |
| Fax: |
Provider Mailing Location
104 JAVIT CT
AUSTINTOWN
OH
445152439
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |