Individual
DENISE RENEE KIMBREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 WELLS RD STE 203, ORANGE PARK, FL 32073-3036
(616) 301-4249
Mailing address
785 SYCAMORE WAY, ORANGE PARK, FL 32073-1674
(616) 301-4249
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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