Individual
KIMBERLY WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 731-1021
(903) 731-1265
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000017398
TN
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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