Individual
KIMBERLY ANN LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
942690
TX
363L00000X
Nurse Practitioner
SP013992
PA
Other
Enumeration date
07/31/2014
Last updated
09/10/2018
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