MRS. Kimberly Brundidge I

NPI #1972755775 in Havana, Florida

Provider Information

NPI Number: 1972755775
Entity Type: Individual
Name: MRS. Kimberly Brundidge I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Oct 13, 2008
Last Updated: Oct 13, 2008

Practice Location

Address: 411 S MAIN ST
City: Havana
State: Florida
ZIP Code: 32333-2134
Phone: (850) 879-1154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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