Provider Demographics
NPI:1477793719
Name:NEUMANN, KIMBERLY ANN (LAC, DIPLOM)
Entity Type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:ANN
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2816
Mailing Address - Country:US
Mailing Address - Phone:415-225-1427
Mailing Address - Fax:
Practice Address - Street 1:4315 PIEDMONT AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4776
Practice Address - Country:US
Practice Address - Phone:510-485-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12886171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist