Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | N0208 | TX |
NPI | 1013188259 |
---|---|
Provider Name | Dr. Kimberly Anne Barnes Leeson |
First Address | Corpus Christi, TX 78405-1833 |
Second Address | Corpus Christi, TX 78405-1833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2008 |
Last Update Date | 20/06/2013 |