Individual
MRS. KIMBERLEY DAWN KAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3460 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 458-4475
Mailing address
3460 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 458-4475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN-OD1579
TN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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