Most Relevant Information
Provider Data
| NPI Number: | 1003516931 |
| Provider Name: | KIMBERLY KAYVANFAR |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 50001 |
Most Important Dates
| Enumeration Date: | 03/08/2023 |
| Last Updated: | 03/08/2023 |
Provider Practice Location
29 ACORN RDG
RANCHO SANTA MARGARITA
CA
926885508
Practice Location Phone/Fax
| Phone: | 8183219920 |
| Fax: |
Provider Mailing Location
29 ACORN RDG
RANCHO SANTA MARGARITA
CA
926885508
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |