Neely, Kimberly R

Neely, Kimberly R is an individual health care provider with primary practice located at 8198 Walnut Hill Ln Suite A, Dallas TX 75231-4316. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Neely, Kimberly R can be contacted via phone (214) 345-8000.

Contact Information

Primary practice address
8198 Walnut Hill Ln Suite A Dallas TX 75231-4316
Phone: (214) 345-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP107482 Texas
Nursing Service Providers / Gerontology 163WG0600X 631908 Texas

Profile Details

NPI number 1841239738
LBN Legal business name Neely, Kimberly R
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 24th, 2023 - about 3 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 1841239738 NPPES
Texas MEDICAID 117391607
Texas Other BC/BS

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