Individual
KIMBEREY CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5125 WICHITA ST, 15283, FORT WORTH, TX 76119-2541
(682) 301-2844
Mailing address
PO BOX 15283, FORT WORTH, TX 76119-0283
(682) 301-2844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
975583
TX
163WC0400X
Case Management Registered Nurse
975583
TX
163WC1500X
Community Health Registered Nurse
975583
TX
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
975583
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
975583
TX
171400000X
Health & Wellness Coach
975583
TX
171M00000X
Case Manager/Care Coordinator
Primary
975583
TX
Other
Enumeration date
03/07/2012
Last updated
04/24/2025
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