Individual
MS. KIM M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
(254) 200-4090
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C40T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/07/2005
Last updated
01/28/2008
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