MEDICARE: KIMBERLY A KLEIMAN M.AC., L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	0623	AZ
2	171100000X	Acupuncturist	AC01298	OR

General Provider Information

NPI Number	:	1104148915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A KLEIMAN M.AC., L.AC.

Provider Business Mailing Address
First Line	:	1601 N TUCSON BLVD STE 14
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3406
Country	:	US
Telephone Number	:	520-323-7060
Fax Number	:	520-323-6175

Provider Business Practice Location Address
First Line	:	1601 N TUCSON BLVD STE 14
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3406
Country	:	US
Telephone Number	:	520-323-7060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2010
Last Update Date	:	12/07/2020

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