Individual
KIMBERLY EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 S GENERAL BRUCE DR STE 88, TEMPLE, TX 76502-1466
(254) 778-1603
Mailing address
4501 S GENERAL BRUCE DR STE 88, TEMPLE, TX 76502-1466
(254) 778-1603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1032568
TX
Other
Enumeration date
05/20/2021
Last updated
07/27/2021
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