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Individual
DR. KIMBERLY E MCDERMOTT
Active
Individual
DR. KIMBERLY E MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14000018933
NY
174400000X
Specialist
Primary
5470214UPD
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161406A1
PREFERRED CARE
NY
01
—
7102000NY14626
BC/BS OF MICHIGAN
NY
Enumeration date
06/05/2006
Last updated
08/21/2007
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