Individual
MISS KIMBERLEY LEANNA COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7800 SW 87TH AVE STE C-340, MIAMI, FL 33173-3570
(305) 595-0109
Mailing address
7800 SW 87TH AVE STE C-340, MIAMI, FL 33173-3570
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME158790
FL
Other
Enumeration date
04/06/2017
Last updated
10/15/2024
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