Individual
MS. KIMBERLY JANE LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4419 FRONTIER TRL, SUITE 106, AUSTIN, TX 78745-1686
(602) 743-0023
Mailing address
1508 SOUTHPORT DR, #145, AUSTIN, TX 78704-7791
(602) 743-0023
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
Primary
AC01357
TX
Other
Enumeration date
06/03/2012
Last updated
06/03/2012
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