Provider Demographics
NPI:1336325174
Name:FINEGOLD, KIMBERLY OLSON (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:OLSON
Last Name:FINEGOLD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:STUDENT HEALTH SERVICE UCSB
Mailing Address - Street 2:BUILDING 588, UCSB
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-7002
Mailing Address - Country:US
Mailing Address - Phone:805-893-6172
Mailing Address - Fax:805-893-4911
Practice Address - Street 1:STUDENT HEALTH SERVICE UCSB
Practice Address - Street 2:BUILDING 588, UCSB
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-7002
Practice Address - Country:US
Practice Address - Phone:805-893-6172
Practice Address - Fax:805-893-4911
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA247694/4254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily