NPI 1013633601

Kimberly Lynn Halliday

Practitioner Case Management Agency Santa Rosa, CA

Practice location

Address: 1700 Yulupa Ave, Santa Rosa, CA 95405-7721
Phone: (707) 528-7200

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1013633601
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2022
Record last updated: 14 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.