Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | M0127 | TX |
NPI | 1316951643 |
---|---|
Provider Name | Kimberly Lynn Kesling |
First Address | Fort Hood, TX 76544 |
Second Address | Fort Hood, TX 76544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 08/07/2007 |