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Individual

KIMBERLY ELAINE MIDDLETON

Active
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Individual

KIMBERLY ELAINE MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
616441
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP132579
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
616441
REGISTERED NURSE LICENSE
TX
Enumeration date
11/30/2016
Last updated
07/05/2023
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