Individual
ALICE KIMEMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
223 BEDFORD ST, GARDNER, KS 66030-1185
(615) 896-6400
Mailing address
13877 S KAW ST, OLATHE, KS 66062-4570
(913) 829-1413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800623
KS
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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