Individual
MR. KEVIN CLAIBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
715 KAY DR, LONGVIEW, TX 75601-6026
(903) 399-9240
Mailing address
715 KAY DR, LONGVIEW, TX 75601-6026
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339117
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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