Individual
DESTINY DAWN KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3941 J ST STE 350, SACRAMENTO, CA 95819-3633
(916) 453-2500
(916) 456-1672
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95032121
CA
Other
Enumeration date
09/17/2024
Last updated
11/21/2024
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