Individual
KIMBERLY ANNE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1139 3RD ST, SOUTH LAKE TAHOE, CA 96150-3465
(530) 543-5691
(530) 542-2872
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5691
(530) 542-2872
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14825
NV
208600000X
Surgery Physician
Primary
A112322
CA
Other
Enumeration date
05/21/2008
Last updated
03/17/2022
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