Individual
KIMBERLY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 PHILOMENA ST, AUSTIN, TX 78723-3210
(512) 324-9999
Mailing address
165 MARAVILLAS BND, BASTROP, TX 78602-2251
(806) 577-0356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
858999
TX
Other
Enumeration date
08/28/2018
Last updated
03/23/2025
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