Individual
KIMBERLY STREETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
943 N 550 E, WESTVILLE, IN 46391-9479
(704) 267-3519
Mailing address
943 N 550 E, WESTVILLE, IN 46391-9479
(704) 267-3519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
03/08/2016
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