Individual
KIMBERLY KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17473 ASHCOMB WAY, ESTERO, FL 33928-6517
(813) 291-4695
Mailing address
17473 ASHCOMB WAY, ESTERO, FL 33928-6517
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314126
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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