Provider Demographics
NPI:1497379242
Name:HOPE, KIMBERLY HEATHER (RDH)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:HEATHER
Last Name:HOPE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W D ST
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2612
Mailing Address - Country:US
Mailing Address - Phone:559-707-3161
Mailing Address - Fax:
Practice Address - Street 1:450 W D ST
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2612
Practice Address - Country:US
Practice Address - Phone:559-707-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19268124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist