Individual
KIMBERLY GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM, LVN
Contact information
Practice address
950 N 11TH ST, BEAUMONT, TX 77702-1203
(409) 299-5281
Mailing address
7641 S BOARDWALK, LUMBERTON, TX 77657-6922
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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