Individual
DR. KIMBERLY A. ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-7393
(903) 663-7394
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-7393
(903) 663-7394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.0050065
CO
2085R0202X
Diagnostic Radiology Physician
Primary
M1466
TX
2085R0204X
Vascular & Interventional Radiology Physician
M1446
TX
208D00000X
General Practice Physician
M1446
TX
Other
Enumeration date
12/22/2005
Last updated
10/13/2015
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