Individual
KIMBERLY KAYE VEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
Mailing address
1200 N. BEAVER STREET, FLAGSTAFF, AZ 86001
(928) 773-2054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2710
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2710
PHYSICAL THERAPY LICENSE
AZ
05
—
543521
—
AZ
Enumeration date
03/12/2007
Last updated
07/09/2007
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