Individual
AMANDA KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 W SAINT ISABEL ST, TAMPA, FL 33607-6324
(813) 876-9961
(813) 877-9680
Mailing address
2701 W SAINT ISABEL ST, TAMPA, FL 33607-6324
(813) 876-9961
(210) 877-9680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9364199
FL
Other
Enumeration date
06/03/2015
Last updated
12/02/2020
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