Individual
COURTNEY AMBER KIMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 MONROEVILLE BLVD STE 300, MONROEVILLE, PA 15146-2522
(724) 299-8954
Mailing address
680 SARA LN, VERONA, PA 15147-2635
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN683749
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028401
PA
Other
Enumeration date
10/04/2023
Last updated
10/12/2023
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