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Individual

KIMBERLY ANNE SAKOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
3501 N MACARTHUR BLVD, SUITE 500, IRVING, TX 75062-3651
(972) 256-3700
(972) 258-9887
Mailing address
3501 N MACARTHUR BLVD, SUITE 500, IRVING, TX 75062-3651
(972) 256-3700
(972) 258-9887

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
658263
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219270001
TX
01
816N89
BC/BS
TX
Enumeration date
01/14/2010
Last updated
05/04/2011
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