Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 20A16663 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 20A16663 | CA |
N | 207VG0400X | Gynecologist | 20A16663 | CA |
NPI | 1952545220 |
---|---|
Provider Name | Dr. Alexis May Kimble |
First Address | Pasadena, CA 91105-2606 |
Second Address | Pasadena, CA 91105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 29/12/2020 |