Individual
KIMBERLY K SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1019365
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1019365
TX
Other
Enumeration date
02/08/2021
Last updated
12/13/2022
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