Individual
DR. KAYCIE A KIMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
327 BROADWAY, PORT EWEN, NY 12466-5501
(845) 331-8810
Mailing address
PO BOX 927, PORT EWEN, NY 12466-0927
(845) 331-8810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009059-1
NY
Other
Enumeration date
12/27/2006
Last updated
08/03/2012
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