Individual
MS. KIMBERLEY ANNE KENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1741 RIVER HILLS DR, ORANGE PARK, FL 32003-8395
(904) 314-3518
(904) 531-9207
Mailing address
1741 RIVER HILLS DR, ORANGE PARK, FL 32003-8395
(904) 314-3518
(904) 531-9207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 3398392
FL
163WC0400X
Case Management Registered Nurse
RN 3398392
FL
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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