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Individual
MRS. KATHLEEN MARY VIVIAN
Active
Individual
MRS. KATHLEEN MARY VIVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP114861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3365025
—
TX
Enumeration date
12/04/2006
Last updated
03/01/2023
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