Individual
MRS. KIMBERLY S LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1515 26TH AVE E, BRADENTON, FL 34208-7707
(941) 708-8600
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(954) 967-8962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN1895682
FL
363L00000X
Nurse Practitioner
ARNP1895682
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN1895682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303102100
—
FL
Enumeration date
08/23/2005
Last updated
11/03/2023
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