Individual
MRS. KIMBERLY DENISE PAIR
Active
Individual
MRS. KIMBERLY DENISE PAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.744.EXAM
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.744.EXAM
LA LICENSE
LA
Enumeration date
10/06/2010
Last updated
10/28/2020
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