Individual
KIMBERLY DIANE BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 807-2026
Mailing address
4515 26TH ST W APT 903, BRADENTON, FL 34207-1217
(412) 721-5090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3136
FL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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