Individual
AMANDA ROSE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 W VEGA LN, KILLEEN, TX 76542-6431
(918) 679-0782
Mailing address
4334 N LOOP 1604 W STE 103, SAN ANTONIO, TX 78249-3485
(210) 918-8737
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1063235
TX
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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