Individual
MRS. KIMBERLY N BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3950 N A W GRIMES BLVD, ROUND ROCK, TX 78665-3540
(512) 524-9275
(512) 238-9279
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-1124
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
717040
TX
Other
Enumeration date
03/29/2010
Last updated
03/21/2011
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