Individual
CODI RICHARDSON KINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S. 31ST ST., TEMPLE, TX 76508
(254) 724-2111
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10039974
TX
Other
Enumeration date
05/03/2011
Last updated
08/14/2012
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