person
Ms. Benita Kimball, CMF
Mastectomy Fitter in Sacramento, California
NPI 1053789602

Benita Kimball is a Mastectomy Fitter based in Sacramento, CA. Benita Kimball practices in Sacramento, CA and has the professional credentials of CMF. The NPI Number for Benita Kimball is 1053789602 and holds a License No. C52184 (California).

The current practice location address for Benita Kimball is 1329 Howe Ave Ste 101, Sacramento, CA and can be reached out via phone at 916-480-9501 and via fax at 510-350-9166.

Location: 1329 Howe Ave Ste 101, Sacramento, CA, 95825-3363
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Provider Profile Details
NPI Number
1053789602
Provider Name
Benita Kimball
Credential
CMF
Provider Entity Type
Individual
Gender
Female
Address
1329 Howe Ave Ste 101, Sacramento, CA, 95825-3363
Phone Number
916-480-9501
Fax Number
510-350-9166
Provider Enumeration Date
09/11/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C52184 01 CA BOC
institution
Provider Business Practice Location Address Details
Address
1329 Howe Ave Ste 101
City
State
Zip
95825-3363
Phone Number
916-480-9501
Fax Number
510-350-9166
person
Provider Business Mailing Address Details
Address
1329 Howe Ave Ste 101
City
State
Zip
95825-3363
Phone Number
916-480-9501
Fax Number
510-350-9166
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
License No.
C52184 (California)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
License No.
C52184 (California)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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