Doctor Name: | MS. EMILY LANE KIMBLE |
NPI Number: | 1043525652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.11840-NP |
Business Practice Address: | 1508 Garces Hwy Delano, CA - 932153687 |
Business Phone Number: | 6617254780 |
Business Fax Number: | 6617251048 |
Mailing Address: | 1508 Garces Hwy, DELANO |
State: | CA |
Postal Code: | 932153687 |
Phone Number: | 6617254780 |
Fax Number: | 6617251048 |
NPI Enumeration Date: | 08/09/2010 |
NPI Last Update Date: | 03/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.11840-NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |