Individual
MS. KIMBERLY SUZANN BRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA, LACKLAND AFB, TX 78236
(210) 605-7290
Mailing address
8942 PEMBRIDGE WAY, CONVERSE, TX 78109-0090
(210) 605-7290
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1027822
TX
Other
Enumeration date
07/13/2023
Last updated
04/28/2026
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