| NPI | 1144212689 |
|---|---|
| Former Name | KIMBERLY RENEE KAHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M9972) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD0031115) |
| 207Q00000X Family Medicine (Licence: OR MD19694) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2009-06-09 |