NPI | 1366958241 |
---|---|
Professional Name | KIMBERLY DAWN KOBYLKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10847) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162780) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2020-09-30 |