Individual
KIMBERLY PICKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
119 OAKFIELD DR, NICU FLOOR, BRANDON, FL 33511-5779
(813) 571-5360
(813) 571-5242
Mailing address
401 N PARSONS AVE, SUITE 108B, BRANDON, FL 33510-4538
(813) 643-7225
(813) 643-5280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102843
FL
363AM0700X
Medical Physician Assistant
Primary
PA9102843
FL
Other
Enumeration date
04/13/2006
Last updated
09/11/2025
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