Individual
KATHLEEN E SHIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9021 PARK ROYAL DR, FORT MYERS, FL 33908-9617
(239) 432-5858
(239) 482-6297
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME93181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272771400
—
FL
01
—
41731
BC/BS
FL
Enumeration date
07/20/2005
Last updated
10/24/2017
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