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NPI Code Detail

MEDICARE: KIMBERLY M BAIR

MEDICARE:   KIMBERLY M BAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistAPS.007198OH

General Provider Information

NPI Number : 1780548446
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY M BAIR
Provider Business Mailing Address
First Line : 1625 ELFLEDA ST
Second Line :
City : LORAIN
State : OH
Zip : 44055-3252
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 457 GRISWOLD RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2304
Country : US
Telephone Number : 440-406-8006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ KIMBERLY M BAIR ” Practice Location

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