Individual
KIMBERLY ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 ALTON RD DEPT OF, MIAMI BEACH, FL 33140-2948
(305) 674-2387
Mailing address
22522 SW 126TH AVE, MIAMI, FL 33170-6320
(786) 759-3857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9308573
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
0024180511
VA
367500000X
Certified Registered Nurse Anesthetist
APRN11005626
FL
Other
Enumeration date
09/09/2019
Last updated
02/06/2024
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