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Individual

MRS. KENDRA ANN GOTTLIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6500 N MOPAC EXPY, BLDG 3 STE 200, AUSTIN, TX 78731-3282
(512) 458-8400
(512) 458-8593
Mailing address
6500 N MOPAC EXPY, BLDG 3 STE 200, AUSTIN, TX 78731-3282
(512) 458-8400
(512) 458-8593

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
697226
TX
363L00000X
Nurse Practitioner
Primary
AP131579
TX

Other

Enumeration date
08/28/2016
Last updated
01/27/2022
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