Individual
KENDRA TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S COOPER ST STE 115, SUITE #20, ARLINGTON, TX 76015-4142
(817) 779-1107
Mailing address
5720 BURTON AVE, FORT WORTH, TX 76119-1755
(817) 779-1107
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
225525
TX
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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