Provider Demographics
NPI:1376725903
Name:MARRONE, KIMBERLY ANN (L AC)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ANN
Last Name:MARRONE
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 CONGRESS PARK DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4670
Mailing Address - Country:US
Mailing Address - Phone:561-819-0530
Mailing Address - Fax:561-819-0521
Practice Address - Street 1:220 CONGRESS PARK DR
Practice Address - Street 2:SUITE 230
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4670
Practice Address - Country:US
Practice Address - Phone:561-819-0530
Practice Address - Fax:561-819-0521
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2454171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist