Individual
MS. KIMBERLY ANN IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNOR, SA-C
Contact information
Practice address
1002 WINGATE CT, BEL AIR, MD 21014-5478
(410) 399-9895
Mailing address
1002 WINGATE CT, BEL AIR, MD 21014-5478
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
07-184
MD
Other
Enumeration date
08/09/2012
Last updated
08/27/2013
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