Individual
KIMBERLY MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 E SONTERRA BLVD STE 102, SAN ANTONIO, TX 78258-4238
(210) 305-5075
Mailing address
1202 E SONTERRA BLVD STE 102, SAN ANTONIO, TX 78258-4238
(210) 305-5075
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
818597
TX
Other
Enumeration date
03/23/2021
Last updated
10/18/2021
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