Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY ANN AXELROD, CCP
Active Sole ProprietorKIMBERLY ANN AXELROD, CCP is a Orthotic Fitter healthcare provider located in LOS ALTOS, California. NPI 1770795114 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · LOS ALTOS, CA
Registration Details
- NPI Number
- 1770795114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2007 (19.085610667529 yrs)
- Last Updated
- Jul 8, 2007
- License
-
820118 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 LOCKHART LNLOS ALTOS, CA, 940222121Browse CA providers · Browse ZIP 94022
- Phone
- 6505595848
- Fax
- 6505595848
- Primary Specialty
-
Orthotic Fitter
242T00000X
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.