Individual
KIMBERLY D DAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
742 STARLAND ST SE, PALM BAY, FL 32909-4453
(321) 557-5172
Mailing address
742 STARLAND ST SE, PALM BAY, FL 32909-4453
(321) 557-5172
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106182500
—
FL
Enumeration date
10/31/2020
Last updated
10/31/2020
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