Individual
MRS. KIMBERLY MARY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
94881 BENT OAK LN, MOOSE LAKE, MN 55767-2201
(218) 485-5981
Mailing address
94881 BENT OAK LN, MOOSE LAKE, MN 55767-2201
(218) 485-5981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R156863-5
MN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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