Provider Demographics
NPI:1568970861
Name:O'BRIEN, KIMBERLY DOWD (APRN)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:DOWD
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:RAY
Other - Last Name:DOWD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:801 S RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-3799
Mailing Address - Country:US
Mailing Address - Phone:407-835-2300
Mailing Address - Fax:407-641-9089
Practice Address - Street 1:801 S RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3799
Practice Address - Country:US
Practice Address - Phone:407-835-2300
Practice Address - Fax:407-641-9089
Is Sole Proprietor?:No
Enumeration Date:2018-01-21
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9369675363L00000X
FLAPRN9369675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner