Individual
MISS KIMBERLY B WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS BA CTCM
Contact information
Practice address
35 RIVER DR, ORMOND BEACH, FL 32176-4151
(386) 846-9216
Mailing address
160 N BEACH ST, DAYTONA BEACH, FL 32114-3314
(386) 944-4707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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