Organization
KIMBERLY B. KENNEDY, INC.
Active
Other names
Guardian Health DME, A Woman's Touch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TYLER DILLON (PRESIDENT)
(903) 593-1590
Entity
Organization
Contact information
Practice address
1733 TROUP HWY, TYLER, TX 75701-5869
(903) 593-1590
(903) 593-4689
Mailing address
1733 TROUP HWY, TYLER, TX 75701-5869
(903) 593-1590
(469) 519-9353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530495
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/14/2007
Last updated
04/28/2026
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