Individual
KIMBERLY DAWN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1200 CLARK, STINNETT, TX 79083
(806) 231-8278
Mailing address
PO BOX 165, STINNETT, TX 79083-0165
(806) 231-8278
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344048
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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