Individual
KIMBERLY M DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2902 W AGUA FRIA FWY STE 1090, PHOENIX, AZ 85027-3970
(602) 648-5444
(602) 772-3801
Mailing address
15445 N 2ND DR, PHOENIX, AZ 85023-3627
(520) 591-3066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5842
AZ
363AS0400X
Surgical Physician Assistant
5842
AZ
Other
Enumeration date
10/13/2014
Last updated
10/27/2023
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