Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 16050 | CA |
NPI | 1003042284 |
---|---|
Provider Name | Dr. Kimberly Scott Peters |
First Address | Camarillo, CA 93010-1225 |
Second Address | Camarillo, CA 93010-1225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2009 |
Last Update Date | 02/06/2009 |