Provider Demographics
NPI:1861996498
Name:TOWNSEND, KIMBERLY CAROL (CBD, CPD, CBC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:CAROL
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CBD, CPD, CBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5876 FISHBURNE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3821
Mailing Address - Country:US
Mailing Address - Phone:708-374-4222
Mailing Address - Fax:
Practice Address - Street 1:5876 FISHBURNE AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3821
Practice Address - Country:US
Practice Address - Phone:708-374-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula