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Individual

KIMBERLY STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNIM

Contact information

Practice address
2050 N COLLINS BLVD STE 105, RICHARDSON, TX 75080-8309
(972) 310-7482
Mailing address
2050 N COLLINS BLVD STE 105, RICHARDSON, TX 75080-8309
(972) 310-7482

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
225000000X
Orthotic Fitter
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Enumeration date
06/06/2015
Last updated
01/05/2024
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