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Individual
KIMBERLY L VENABLE
Active
Individual
KIMBERLY L VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00857
TX
363A00000X
Physician Assistant
Primary
PA9110447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284052201
—
TX
Enumeration date
08/30/2005
Last updated
08/20/2024
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