ANGELA L KIMMINS


Address: 461 N 9th Dr, Show Low, AZ 85901-4562
Phone: 9286077838

ANGELA L KIMMINS (NPI# 1114485729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114485729
Entity Type Individual
Full Name ANGELA L KIMMINS
Other Name ANGELA L KEICHER
Credential IBCLC
Practice Address 461 N 9th Dr
Show Low
AZ 85901-4562
Practice Telephone 9286077838
Mailing Telephone 9286077838
Enumeration Date 2019-03-04
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
RN108238 AZ Nursing Service Providers

Office Location

Street Address 461 N 9TH DR
City SHOW LOW
State AZ
Zip Code 85901-4562

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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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Competitor

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City SHOW LOW
Zip Code 85901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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