Individual
MRS. KIMBERLY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1886 FM 1245 W, GROESBECK, TX 76642-2870
(254) 645-1204
Mailing address
1886 FM 1245 W, GROESBECK, TX 76642-2870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626364
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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