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Contact Information

KIMBERELY A WATERS
7074 E FIFTH AVE
SCOTTSDALE, AZ85251-3216
 Phone: 480-429-3778
 Fax: 480-429-3778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for KIMBERELY A WATERS · (Female)

NPI Number 1871037036
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2016
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1068587
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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