Individual
MRS. KIMBERLY KAY IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3231 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2045
(727) 725-6351
Mailing address
26081 LOBLOLLY LN, LAND O LAKES, FL 34639-5615
(813) 973-8595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2710872
FL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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