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Individual

TIMOTHY KIMUYU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1024 E BROAD ST, STE 207, MANSFIELD, TX 76063-7702
(682) 518-3333
(682) 518-3323
Mailing address
1345 RIVER BEND DR, DALLAS, TX 75247-6943
(214) 743-1272

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134997
TX

Other

Enumeration date
09/07/2017
Last updated
04/15/2019
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