Doctor Name: | MRS. KIMBERLEE A SHERMAN |
NPI Number: | 1386849651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 523828-1 |
Business Practice Address: | 1155 Bridghampton Turnpike Bridgehampton, NY - 11963 |
Business Phone Number: | 6317254683 |
Business Fax Number: | |
Mailing Address: | Po Box 494, SHELTER ISLAND |
State: | NY |
Postal Code: | 119640494 |
Phone Number: | 6317495232 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0500X |
License Number: | 523828-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hemodialysis |
Taxonomy Definition: |