Individual
KIMBERLEY E JONGEBLOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-4985
(251) 824-4990
Mailing address
1209 MARSEILLE DR, MOBILE, AL 36693-4521
(251) 824-4985
(251) 824-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11512
AL
Other
Enumeration date
03/15/2006
Last updated
11/25/2008
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