Individual
KIMBERLY MATCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
(530) 668-4839
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95026866
CA
Other
Enumeration date
10/25/2023
Last updated
01/08/2024
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