Individual
DR. KIMBERLY A. LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15025 INNOVATION DR, SAN DIEGO, CA 92128-3409
(858) 605-7171
Mailing address
10790 RANCHO BERNARDO RD., SAN DIEGO, CA 92127-5705
(858) 605-7171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A52306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A523060
—
CA
Enumeration date
09/03/2006
Last updated
07/13/2017
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