NPI | 1215222344 |
---|---|
Former Name | JENNIFER LYNN KIMBLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-22754) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP02238) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 268948) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2023-10-03 |