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Audra Kimble
NPI 1740879923 · on the registry since 2021
Practice
- Address
- 612 Marsolan Ave
Solana Beach, CA 92075 - Phone
- (619) 363-5139
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California