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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIMBERLY DEAN - COMMODORE

Active Sole Proprietor

MRS. KIMBERLY DEAN - COMMODORE is a Respite Care (Camp) healthcare provider located in FAIRFIELD TOWNSHIP, Ohio. NPI 1174238729 is currently active in the NPPES registry. Verify at CMS.

Respite Care (Camp) · FAIRFIELD TOWNSHIP, OH

Registration Details

NPI Number
1174238729
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2023 (3.60135130691 yrs)
Last Updated
Jan 18, 2023
Sole Proprietor
Yes

Practice Information

Address
5645 LIBERTY FAIRFIELD RD
FAIRFIELD TOWNSHIP, OH, 450112251
Browse OH providers · Browse ZIP 45011
Phone
5137854245
Primary Specialty
Respite Care (Camp)
385HR2060X
Additional Specialty
Respite Care (Camp)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.