KIMBERLY DOUGLASS

Rehabilitation Practitioner

Active Individual
NPI: 1962924340

Practice Address

2101 COURAGE DRIVE
MS 10-300
Fairfield, CA 94533

Phone: (707) 784-2033

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Case Manager/Care Coordinator 171M00000X No -
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1962924340 is the National Provider Identifier for KIMBERLY DOUGLASS, a Rehabilitation Practitioner provider located in Fairfield, CA. This NPI was enumerated on July 7, 2017.
KIMBERLY DOUGLASS practices at 2101 COURAGE DRIVE, MS 10-300, Fairfield, CA 94533.

Quick Facts

NPI
1962924340
Type
Individual
Enumerated
Jul 7, 2017
Last Updated
Jul 14, 2025

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