Individual
MRS. KIMBERLEY MICHELLE DRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NNP-BC
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-4012
Mailing address
3001 GEORGE BUSH HWY, RICHARDSON, TX 75082-3542
(972) 437-5099
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
648305
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
648305
TX
Other
Enumeration date
04/04/2006
Last updated
11/16/2016
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