Individual
KIMBERLY ADA JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 WEST 2ND STREET, 514, TOK, AK 99780
(907) 940-5062
Mailing address
323 CAROLYN ST, KODIAK, AK 99615-6376
(907) 486-7380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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