Individual
KIMBERLEY ANGANETTE DUNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1400 WSW LOOP 323 STE 100, TYLER, TX 75701-7201
(903) 595-5580
(903) 526-3882
Mailing address
1400 WSW LOOP 323 STE 100, TYLER, TX 75701-7201
(903) 595-5580
(903) 526-3882
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80218
TX LICENSE BOARD
TX
Enumeration date
03/26/2018
Last updated
03/26/2018
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