Free National NPI Number Registry
Kimberly Ann Page
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NPI Number Detailed Information
Provider Information:
| Name: | Kimberly Ann Page |
| Gender: | F |
| Provider License Number If Given: | G64229 |
NPI Information:
| NPI: | 1215930250 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 9/7/2018 |
Provider Business Mailing Address:
| Address: | 1388 COURT ST STE H Redding, CA 96001 |
| Phone Number: | |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 1388 COURT ST SUITE H Redding, CA 96001 |
| Phone Number: | 5302462207 |
| Fax Number: | 5302436835 |
Provider Taxonomy:
| Primary: | 207T00000X |
| Secondary (if any): | |
| State: | CA |
