Individual
KIERSTIN DEZIREE ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
185 ALEXIA, SAN BENITO, TX 78586-3008
(956) 579-1588
Mailing address
185 ALEXIA, SAN BENITO, TX 78586-3008
(956) 579-1588
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/24/2018
Last updated
04/09/2020
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