Individual
KIMBERLY KAY BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 461-8231
(727) 298-6637
Mailing address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 461-8231
(727) 298-6637
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9193019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111655100
—
FL
Enumeration date
02/19/2018
Last updated
09/04/2024
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