Individual
DR. KIMBERLY A KENNE
Active
Individual
DR. KIMBERLY A KENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD171882
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD-45087
IA
207VG0400X
Gynecology Physician
MD-45087
IA
Other
Enumeration date
07/08/2010
Last updated
02/11/2021
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