Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 655203 | TX |
NPI | 1013211655 |
---|---|
Provider Name | Kimberley G French |
First Address | Corpus Christi, TX 78411-1751 |
Second Address | Corpus Christi, TX 78411-1751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2010 |
Last Update Date | 02/03/2020 |