NPI 1053789602

Benita Kimball, CMF

Practitioner Mastectomy Fitter Sacramento, CA

Practice location

Address: 1329 Howe Ave STE 101, Sacramento, CA 95825-3363
Phone: (916) 480-9501
Fax: (510) 350-9166

Registered specialties (2)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C52184 (CA)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C52184 (CA)

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Registry record

NPI: 1053789602
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2015
Record last updated: 27 Feb 2024

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.