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Individual
MS. KIMBERLY BROOKE MCCANN
Active
Individual
MS. KIMBERLY BROOKE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC, CNS
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95007438
CA
364SP0200X
Pediatric Clinical Nurse Specialist
4636
CA
Other
Enumeration date
10/10/2017
Last updated
02/12/2026
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