MEDICARE: DR. KIMBERLY N JOSEPH D.C

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	111N00000X	Chiropractor	CH7606	FL

General Provider Information

NPI Number	:	1598940017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY N JOSEPH D.C

Provider Business Mailing Address
First Line	:	6237 SUNSET DR
Second Line	:	STE A
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4848
Country	:	US
Telephone Number	:	305-666-5454
Fax Number	:	305-666-5451

Provider Business Practice Location Address
First Line	:	6237 SUNSET DR
Second Line	:	STE A
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4848
Country	:	US
Telephone Number	:	305-666-5454
Fax Number	:	305-666-5451

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

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	11/07/2013

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