Provider Demographics
NPI:1366932360
Name:VAN PERRE, KIMREY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:KIMREY
Middle Name:ANN
Last Name:VAN PERRE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11234 ANDERSON ST STE C
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:909-558-4074
Mailing Address - Fax:
Practice Address - Street 1:4150 V ST STE G400
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-3037
Practice Address - Fax:916-734-7953
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2022-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA163893207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease