Individual
KIMBERLY A NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
502 SHAW AVE, PARIS, IL 61944-2352
(217) 466-3565
Mailing address
609 ASHBY DR, CHARLESTON, IL 61920-3216
(217) 549-0712
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020015390
IL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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