Individual
KIMBERLY TOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15901 BASS RD, SUITE 100, FORT MYERS, FL 33908
(239) 343-6100
(239) 343-9925
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 343-6100
(239) 343-9925
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN1941582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302098300
—
FL
Enumeration date
10/04/2005
Last updated
03/31/2021
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