Individual
KIMBERLY A. KEMPISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1090 GOAT SPRINGS ROAD, TAOS,, NM 87571-1946
(575) 758-4224
(575) 751-5210
Mailing address
P.O. BOX 1946, 1090 GOAT SPRINGS ROAD, TAOS,, NM 87571-1946
(575) 758-4224
(575) 751-5210
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K3543
—
NM
Enumeration date
04/25/2008
Last updated
09/14/2012
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