Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW 230 | FL |
NPI | 1003142373 |
---|---|
Provider Name | Kimberly A Verbarg |
First Address | Brandon, FL 33511-5307 |
Second Address | Brandon, FL 33511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2009 |
Last Update Date | 20/06/2018 |