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Individual

KIM ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,R.N.,C.P.N.P

Contact information

Practice address
11661 PRESTON RD STE 120, DALLAS, TX 75230-6199
(214) 363-7242
Mailing address
11661 PRESTON RD STE 120, DALLAS, TX 75230-6199
(214) 363-7242

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
502426
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP108129
TX

Other

Enumeration date
09/24/2008
Last updated
11/11/2019
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