Individual
KIMBERLY BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4099 MCEWEN RD STE 250, FARMERS BRANCH, TX 75244-5030
(972) 204-5092
Mailing address
4099 MCEWEN RD STE 250, FARMERS BRANCH, TX 75244-5030
(972) 204-5092
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45172
TN
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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