Individual
OLIVIA KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LTM, CPM, MSM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1083
MN
374J00000X
Doula
—
—
Other
Enumeration date
05/11/2016
Last updated
01/27/2021
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