Individual
MS. KIM ANN KHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-4850
Mailing address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-4850
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-MELKAZ
CA
Other
Enumeration date
12/15/2008
Last updated
04/12/2023
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