Individual
KIMBERLY R NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
(972) 978-2317
(800) 782-4295
Mailing address
6420 LA PAZ RANCH RD, MIDLOTHIAN, TX 76065-7287
(972) 903-4343
(972) 903-4343
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
631908
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP107482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117391607
—
TX
01
—
BC/BS
8N7188
TN
Enumeration date
06/06/2006
Last updated
04/15/2026
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