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Individual
KIMBERLY SPENCE
Active
Individual
KIMBERLY SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
930147
TX
363LF0000X
Family Nurse Practitioner
Primary
1116461
TX
363LF0000X
Family Nurse Practitioner
200482
LA
363LF0000X
Family Nurse Practitioner
223828
AR
Other
Enumeration date
05/01/2023
Last updated
01/18/2024
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