Individual
CAROLYNE KIMELI-MBARAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9119 HIGHWAY 6 STE 230379, MISSOURI CITY, TX 77459-4876
(979) 645-0105
Mailing address
9119 HIGHWAY 6 STE 230379, MISSOURI CITY, TX 77459-4876
(979) 645-0105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10016612
TX
363LF0000X
Family Nurse Practitioner
3011157
KY
363LP2300X
Primary Care Nurse Practitioner
3011157
KY
Other
Enumeration date
03/03/2017
Last updated
01/25/2021
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