Kimberly Brussow, M.S.
Genetic Counselor, MS in Phoenix, AZ. Individual provider (NPI-1).
NPI number1205276300
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1205276300
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Brussow
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2013
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | – | – | Yes |
Practice location
625 N 6th StPhoenix, AZ 85004-2155
Phone 602-406-8222
Mailing address
3030 N Central Ave Ste 1001Phoenix, AZ 85012-2716
Phone 602-406-4786 · Fax 916-636-4358
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