| Doctor Name: | KIMBERLY MICHELLE FLAKE |
| NPI Number: | 1003294828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM |
| License Number: | AP7625 |
| Business Practice Address: | 1020 S Roles Dr Gilbert, AZ - 852968605 |
| Business Phone Number: | 4802161837 |
| Business Fax Number: | |
| Mailing Address: | 1020 S Roles Dr, GILBERT |
| State: | AZ |
| Postal Code: | 852968605 |
| Phone Number: | 4802161837 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2015 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | AP7625 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |