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Individual

JACQUELINE KIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2 N BELCHER RD, CLEARWATER, FL 33765-3201
(727) 449-2224
Mailing address
2 N BELCHER RD, CLEARWATER, FL 33765-3201
(727) 449-2224

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11003804
FL
363L00000X
Nurse Practitioner
209.011296
IL

Other

Enumeration date
03/06/2014
Last updated
07/29/2021
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