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Individual
KIMBERLY CHARMELL WEATHERSPOON
Active
Individual
KIMBERLY CHARMELL WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D71613
MD
2085R0204X
Vascular & Interventional Radiology Physician
Primary
S2198
TX
Other
Enumeration date
06/06/2008
Last updated
03/16/2021
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