Individual
DR. KIMBERLY ANN KERKSIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7606 UNIVERSITY AVE, SUITE B-3, LUBBOCK, TX 79423-2155
(806) 470-4506
Mailing address
3817 28TH ST, LUBBOCK, TX 79410-2505
(806) 470-4506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201069
TX
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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