Individual
KIMBERLY ANN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
Mailing address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132542
TX
Other
Enumeration date
11/08/2016
Last updated
05/21/2021
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