Individual
KIMBERLEY ELLEN CLEAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1166
Mailing address
3301 MATLOCK RD, ARLINGTON, TX 76015-2908
(682) 509-5800
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP137226
TX
Other
Enumeration date
04/06/2018
Last updated
12/04/2019
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