Individual
KIMBERLEY KELLY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
724 NW 43RD ST, GAINESVILLE, FL 32607-6110
(352) 332-7222
Mailing address
724 NW 43RD ST, GAINESVILLE, FL 32607-6110
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
11022018
FL
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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