Individual
DR. KIMBERLY MARIE PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 LAWRENCE EXPY, DEPT 384, SANTA CLARA, CA 95051-5173
(408) 715-7137
Mailing address
710 LAWRENCE EXPY, DEPT 384, SANTA CLARA, CA 95051-5173
(408) 715-7137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A104220
CA
Other
Enumeration date
07/03/2008
Last updated
02/11/2022
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