Individual provider · Type 1 NPI

Benita Kimball, CMF

Mastectomy Fitter · Sacramento, CA

NPI number 1053789602 Active

Practice location

1329 Howe Ave Ste 101
Sacramento, CA 95825-3363

Call (916) 480-9501 Map

Fax (510) 350-9166

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XC52184 (CA)
Mastectomy Fitter Primary 224900000XC52184 (CA)

Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

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About NPI 1053789602

Benita Kimball, CMF's National Provider Identifier is 1053789602, issued on Sep 11, 2015. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Sacramento, CA. The record was last updated on Feb 27, 2024.