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Individual
DR. KIMBERLY SHIPMAN
Active
Individual
DR. KIMBERLY SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ45097
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708017
—
AZ
01
—
AZ45097
STATE MEDICAL LICENSE
AZ
Enumeration date
07/17/2008
Last updated
02/03/2023
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