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Individual

MRS. CAROL CROWELL KICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
791 S HIGHWAY 78, WYLIE, TX 75098-4004
(972) 442-4888
(972) 429-0366
Mailing address
791 S HIGHWAY 78, WYLIE, TX 75098-4004
(972) 442-4888
(972) 442-4970

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
521436
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
521436
RN
TX
01
80132442
DPS
Enumeration date
04/03/2006
Last updated
03/07/2023
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