Individual
KIMELA ANN LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1101 S MAIN ST, SUITE 1600, FORT WORTH, TX 76104-4802
(817) 321-4900
(817) 850-8511
Mailing address
2845 FOREST AVE, FORT WORTH, TX 76112-6606
(817) 446-5723
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
620860
TX
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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