Individual
KIM SENG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
4923 PENNSBURY DR, TAMPA, FL 33624-6811
(813) 895-4556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11007356
FL
367500000X
Certified Registered Nurse Anesthetist
129981
FL
Other
Enumeration date
06/02/2020
Last updated
12/19/2020
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