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1598767204
KIMBERLY A FLETCHER
LAS VEGAS, NV
NPI
1598767204
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Former Name
KIMBERLY SCOGGINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NV 10729)
Enumeration Date
2005-08-12
Last Update Date
2021-12-21
Business Address
KIMBERLY A FLETCHER MD
3100 N TENAYA WAY
LAS VEGAS, NV 89128-0436
Phone number: 702-255-5025
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Mailing Address
KIMBERLY A FLETCHER MD
PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL 393 E WALNUT ST
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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