Individual
KIMBERLEY NICOLE LONGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACTATION COUNSELOR
Contact information
Practice address
205 MICANOPY CT, INDIAN HARBOUR BEACH, FL 32937-3532
(859) 967-3020
Mailing address
205 MICANOPY CT, INDIAN HARBOUR BEACH, FL 32937-3532
(859) 967-3020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/18/2015
Last updated
04/07/2022
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