Calderon, Kimberly

Calderon, Kimberly is an individual health care provider with primary practice located at 1900 S Washington Ave Ste E , Marshall TX 75670-6845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Calderon, Kimberly can be contacted via phone (903) 503-7330.

Contact Information

Primary practice address
1900 S Washington Ave Ste E Marshall TX 75670-6845
Phone: (903) 503-7330
Fax: (903) 503-7336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 134399 Texas

Profile Details

NPI number 1538681754
LBN Legal business name Calderon, Kimberly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated May 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538681754 NPPES
Texas MEDICAID 377233702

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