Individual
KIMBERLY KRISTA CAPERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2405 S CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 526-7523
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
DR-50311
CO
207Y00000X
Otolaryngology Physician
Primary
P3515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03154777
—
CO
Enumeration date
02/05/2007
Last updated
09/24/2012
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