Kim M. Dierickx PA
Medical Physician Assistant in North Miami Beach, FL(View on Map)
Full Name
Kim Mara Dierickx PA
NPI Number
1518424951
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/21/2019
Specialties
(Taxonomies)Licenses
State
Florida
License Number
9111531
Contact
Information
Purpose
Mailing
Location
Address
100 NW 170TH ST STE 301
100 NW 170TH ST STE 301
City
North Miami Beach
North Miami Beach
State
FL
FL
Postal Code
33169-5511
33169-5511
Country
US
US
Telephone Number
(305) 651-3038
(305) 651-3038
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/21/2019
Provider Address
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North Miami Beach, FLSpecialty: Medical Physician Assistant (Primary)