Individual
KARA E. KIMBERLY
Active
Individual
KARA E. KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD455721
PA
207Y00000X
Otolaryngology Physician
TRN147990
FL
363A00000X
Physician Assistant
PA55814
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030722110001
—
PA
Enumeration date
12/28/2005
Last updated
01/26/2017
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