Individual
MRS. KIMBERLY D MADIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
4203 GARDENDALE ST, STE 102C, SAN ANTONIO, TX 78229-3174
(210) 614-8101
(210) 614-8102
Mailing address
15906 TALL HTS, SAN ANTONIO, TX 78255-3304
(210) 695-4390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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