Provider Demographics
NPI:1659616910
Name:REAMS, KIMBERLY HERSHBERGER (RDH)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:HERSHBERGER
Last Name:REAMS
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 1:4361 ROCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-7651
Mailing Address - Country:US
Mailing Address - Phone:850-562-2592
Mailing Address - Fax:
Practice Address - Street 1:4361 ROCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-7651
Practice Address - Country:US
Practice Address - Phone:850-562-2592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH9834124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist