Individual
KIMLIN MCDANIEL KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4857
(831) 454-5049
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4857
(831) 454-5049
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
418307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418307
RN LICENSE
CA
Enumeration date
10/03/2011
Last updated
10/03/2011
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