Most Relevant Information
Provider Data
| NPI Number: | 1003294828 |
| Provider Name: | KIMBERLY MICHELLE FLAKE CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 363LX0001X |
| Specialty: | Nurse Practitioner |
| License Number: | AP7625 |
Most Important Dates
| Enumeration Date: | 05/13/2015 |
| Last Updated: | 05/13/2015 |
Provider Practice Location
1020 S ROLES DR
GILBERT
AZ
852968605
Practice Location Phone/Fax
| Phone: | 4802161837 |
| Fax: |
Provider Mailing Location
1020 S ROLES DR
GILBERT
AZ
852968605
Provider Mailing Phone/Fax
| Phone: | 4802161837 |
| Fax: |