Individual
KIMBERLY K DURHAM
Active
Individual
KIMBERLY K DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3216652
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP3216652
ARNP LICENSE
FL
01
—
EMT87949
EMT LICENSE
FL
01
—
PMD200872
PARAMEDIC LICENSE
FL
01
—
RN3216652
RN LICENSE
FL
Enumeration date
05/20/2010
Last updated
05/20/2010
Update your record
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