Individual
KIMBERLY CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1900 S WASHINGTON AVE STE E, MARSHALL, TX 75670-6845
(903) 503-7330
(903) 503-7336
Mailing address
3535 N FOURTH ST STE 400, LONGVIEW, TX 75605-0038
(903) 757-3881
(903) 757-5948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
134399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377233702
—
TX
Enumeration date
07/10/2017
Last updated
05/04/2022
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