Individual
KIMBERLY WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, AGPCNP
Contact information
Practice address
225 E STATE HIGHWAY 121 STE 110, COPPELL, TX 75019-2180
(214) 499-5777
Mailing address
214 WINDING HOLLOW LN, COPPELL, TX 75019-2241
(214) 499-5777
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2023036351
TX
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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