Individual
KATHIE ANN COLVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1901 MEDI PARK DR STE 2048, AMARILLO, TX 79106-2109
(806) 353-2101
Mailing address
30 FAIRWAY DR, CANYON, TX 79015-1810
(806) 683-9965
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
755437
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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