Individual
MISS KIMBLYN LASHUN GILYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT,MMP
Contact information
Practice address
7410 BLANCO RD, STE 104, SAN ANTONIO, TX 78216-4363
(210) 861-7828
Mailing address
7410 BLANCO RD, STE 104, SAN ANTONIO, TX 78216-4363
(210) 861-7828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
582524
TX
163WC1500X
Community Health Registered Nurse
582524
TX
163WH0200X
Home Health Registered Nurse
582524
TX
163WH1000X
Hospice Registered Nurse
582524
TX
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT040302
TX
163WP0000X
Pain Management Registered Nurse
582524
TX
163WS0121X
Plastic Surgery Registered Nurse
582524
TX
163WW0000X
Wound Care Registered Nurse
582524
TX
174400000X
Specialist
MT040302
TX
Other
Enumeration date
08/28/2007
Last updated
10/16/2013
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