Individual
KIMBERLY DENESE CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8109
Mailing address
8910 VIEWPARK LN, KILLEEN, TX 76542-6801
(808) 443-1572
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN15467
HI
363LW0102X
Women's Health Nurse Practitioner
Primary
1094369
TX
Other
Enumeration date
03/13/2007
Last updated
12/09/2022
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