| NPI | 1972548865 |
|---|---|
| Former Name | KIMBERLY KAY SILVERNAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA00804) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA00804) |
| 363A00000X Physician Assistant (Licence: OR ORPA00804) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-12-22 |