Individual
KIMBERLY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8170 LAGUNA BLVD STE 304, ELK GROVE, CA 95758-7903
(916) 691-5996
Mailing address
8170 LAGUNA BLVD STE 304, ELK GROVE, CA 95758-7903
(916) 691-5996
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A167600
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
06/29/2020
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