Doctor Name: | MS. KIMBERLY D MCCABE |
NPI Number: | 1104247360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | ARNP2804952 |
Business Practice Address: | 17222 Hospital Blvd Suite 242 Brooksville, FL - 346018925 |
Business Phone Number: | 3527964903 |
Business Fax Number: | 3527962144 |
Mailing Address: | 17222 Hospital Boulevard, Suite 242 BROOKSVILLE |
State: | FL |
Postal Code: | 34609 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2804952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |