Kimberly J Prough, PAC

NPI #1902811698 in Indian Harbour Beach, Florida

Provider Information

NPI Number: 1902811698
Entity Type: Individual
Name: Kimberly J Prough, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 30, 2006
Last Updated: Oct 11, 2016

Practice Location

Address: 2254 HIGHWAY A1A
City: Indian Harbour Beach
State: Florida
ZIP Code: 32937-4922
Phone: (321) 777-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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