Healthcare Provider Details

I. General information

NPI: 1720916646
Provider Name (Legal Business Name): NAOMI LYNN KIMBRELL BSN, RN, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 SUNDALE AVE
BAKERSFIELD CA
93309-7908
US

IV. Provider business mailing address

5801 SUNDALE AVE
BAKERSFIELD CA
93309-7908
US

V. Phone/Fax

Practice location:
  • Phone: 661-440-5520
  • Fax: 661-396-2902
Mailing address:
  • Phone: 661-440-5520
  • Fax: 661-396-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number748027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: