Individual
KIM MARIE MLCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
680 FM 517 RD W, DICKINSON, TX 77539-3904
(281) 218-7200
(281) 218-7203
Mailing address
680 FM 517 RD W, DICKINSON, TX 77539-3904
(281) 218-7200
(281) 218-7203
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
244803
TX
Other
Enumeration date
01/18/2011
Last updated
06/08/2011
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