Individual
KIMBERLEY KIEL DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1841 E MORROW AVE, KINGMAN, AZ 86409-3026
(928) 753-4263
(928) 753-1173
Mailing address
PO BOX 3278, KINGMAN, AZ 86402-3278
(928) 753-4263
(928) 753-1173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1689
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782567
—
AZ
01
—
AZ0292050
BCBS
AZ
Enumeration date
12/12/2006
Last updated
12/27/2013
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