IndividualActive
Benita Kimball, CMF
NPI 1053789602 · Mastectomy Fitter · Sacramento, CA
Provider details
- NPI number
- 1053789602
- Entity type
- Individual
- Primary specialty
- Mastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CMF
- Sex
- Female
- Sole proprietor
- No
- License
- C52184 (CA)
Practice location
1329 Howe Ave Ste 101
Sacramento, CA 95825-3363
Phone: (916) 480-9501
Fax: (510) 350-9166
Mailing address
1329 Howe Ave Ste 101
Sacramento, CA 95825-3363
Registry dates
- Enumerated
- 2015-09-11
- Last updated
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.