Individual
MRS. KIMBERLEY ANN FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6000
Mailing address
15359 S CANDY LN, SAHUARITA, AZ 85629-8625
(520) 762-0062
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN081548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573734
—
AZ
Enumeration date
04/19/2007
Last updated
07/08/2007
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