Individual
KIMBERLY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6677 W THUNDERBIRD RD, SUITE I - 164, GLENDALE, AZ 85306-3709
(623) 878-2100
(623) 776-9419
Mailing address
6677 W THUNDERBIRD RD, SUITE I - 164, GLENDALE, AZ 85306-3709
(623) 878-2100
(623) 776-9419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5384
AZ
Other
Enumeration date
05/09/2013
Last updated
03/11/2020
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