Individual
KATHLEEN T. HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1314 LAKE ST, FT WORTH, TX 76102-4581
(817) 810-0660
Mailing address
1314 LAKE ST, FT WORTH, TX 76102-4581
(817) 810-0660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
621597
TX
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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