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Individual

KIMBERLY KAY RATHKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 652-8401
(361) 788-6655
Mailing address
110 LAGUNA DR, VICTORIA, TX 77904-3753
(361) 652-8401
(361) 788-6655

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1095101
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1095101
LICENSE NUMBER
TX
Enumeration date
09/26/2022
Last updated
09/26/2022
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