Individual
MRS. KIMBERLY RENEE IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BAY PINES VETERAN AFFAIRS CENTER, 10000 BAY PINES BLVD., BAY PINES, FL 33744
(727) 398-6661
Mailing address
BAY PINES VETERAN AFFAIRS CENTER, 10000 BAY PINES, BAY PINES, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7311
LA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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