Individual
DR. KIMBERLY LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0310
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
299691-01
NY
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
T1133
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
145496
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
T1133
TX
Other
Enumeration date
06/28/2016
Last updated
08/10/2021
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