Provider Demographics
NPI:1790769750
Name:D'AMICO, KIMBERLY KOZE (MS)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:KOZE
Last Name:D'AMICO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9614
Mailing Address - Country:US
Mailing Address - Phone:717-566-4143
Mailing Address - Fax:
Practice Address - Street 1:1163 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036
Practice Address - Country:US
Practice Address - Phone:717-566-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS