Individual
KIMBERLY R. HODGKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704339051
MI
363LW0102X
Women's Health Nurse Practitioner
515438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134755108
—
TX
Enumeration date
12/21/2006
Last updated
04/04/2018
Update your record
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