Provider Demographics
NPI:1760527774
Name:BELL, KIMBERLY BURNS (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:BURNS
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 BLUE SAGE DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6516
Mailing Address - Country:US
Mailing Address - Phone:650-464-7237
Mailing Address - Fax:
Practice Address - Street 1:885 OAK GROVE AVE
Practice Address - Street 2:#209
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4433
Practice Address - Country:US
Practice Address - Phone:650-464-7237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0630902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry