Individual
MRS. KIMBERLY SUE HUNTSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-1016
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041362208
IL
163W00000X
Registered Nurse
981410
TX
367500000X
Certified Registered Nurse Anesthetist
209012295
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP145789
TX
Other
Enumeration date
12/04/2014
Last updated
08/19/2020
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