Individual
KIMBERLY ZICKAFOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
12602 TOEPPERWEIN RD STE 208, LIVE OAK, TX 78233-3271
(210) 878-0090
Mailing address
12602 TOEPPERWEIN RD STE 208, LIVE OAK, TX 78233-3271
(210) 878-0090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
909383
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1077936
TX
Other
Enumeration date
03/04/2021
Last updated
04/24/2023
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