Individual
ANGELA L KIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
461 N 9TH DR, SHOW LOW, AZ 85901-4562
(928) 607-7838
Mailing address
461 N 9TH DR, SHOW LOW, AZ 85901-4562
(928) 607-7838
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN108238
AZ
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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