Individual
LEONARD M KIMANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11605 WILD PEAR LN, FORT WORTH, TX 76244-8814
(205) 240-8384
Mailing address
11605 WILD PEAR LN, FORT WORTH, TX 76244-8814
(205) 240-8384
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1072922
TX
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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