Individual
KIMBERLY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 SPRING CREEK RD, ABILENE, TX 79602-7039
(832) 775-4699
Mailing address
4801 SPRING CREEK RD, ABILENE, TX 79602-7039
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220935
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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