Kim Machelle Remington
Specialist in Mayer, AZ. Individual provider (NPI-1).
NPI number1083774558
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083774558
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kim Machelle Remington
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
13251 Main StreetMayer, AZ 86333
Phone 928-632-8376
Mailing address
Po Box 1109Mayer, AZ 86333-1109
Phone 928-632-8376
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