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Individual
HOLLY ELAINE KIMBALL
Active
Individual
HOLLY ELAINE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1108466
TX
363LP2300X
Primary Care Nurse Practitioner
1108466
TX
364S00000X
Clinical Nurse Specialist
713761
TX
364S00000X
Clinical Nurse Specialist
AP133825
TX
364SG0600X
Gerontology Clinical Nurse Specialist
AP133825
TX
Other
Enumeration date
04/19/2017
Last updated
11/15/2024
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