Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY ANN BRASIL
Active Sole ProprietorKIMBERLY ANN BRASIL is a Dental Hygienist healthcare provider located in PENNGROVE, California. NPI 1083112221 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · PENNGROVE, CA
Registration Details
- NPI Number
- 1083112221
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2018 (8.5600939392446 yrs)
- Last Updated
- Jan 23, 2018
- License
-
HAP669 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9663 OLD REDWOOD HWYPENNGROVE, CA, 949519610Browse CA providers · Browse ZIP 94951
- Phone
- 7075482789
- Primary Specialty
-
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.