| 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 |