Individual
KIMBERLY CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(727) 637-3617
Mailing address
3548 76TH TER N, PINELLAS PARK, FL 33781-2701
(727) 637-3617
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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