Individual
KIMBERLY DAWN TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 GENERAL BRUCE DR SUITE 88, ROOM#9, TEMPLE, TX 76501
(254) 624-1892
Mailing address
601 S KNOB ST, TEMPLE, TX 76501-6057
(254) 624-1892
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1107770
TX
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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