Individual
COLLEEN ROSE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1100 MERRILL ST, HOUSTON, TX 77009-6009
(713) 864-7614
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382707301
—
TX
05
—
382707302
—
TX
01
—
8JM450
BCBS
TX
Enumeration date
02/20/2018
Last updated
02/17/2022
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