Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | Q3175 | TX |
N | 208000000X | Pediatrician | Q3175 | TX |
NPI | 1093748816 |
---|---|
Provider Name | Mrs. Kimberly Earle |
First Address | Humble, TX 77338-4547 |
Second Address | Humble, TX 77338-4547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 23/07/2021 |