Udell, Kimberly

Udell, Kimberly is an sole proprietor health care provider with primary practice located at 3602 Matlock Rd Ste 206 , Arlington TX 76015-3600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Udell, Kimberly can be contacted via phone (817) 468-1506.

Contact Information

Primary practice address
3602 Matlock Rd Ste 206 Arlington TX 76015-3600
Phone: (817) 468-1506
Fax: (817) 468-1520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X L1225 Texas

Profile Details

NPI number 1619059201
LBN Legal business name Udell, Kimberly
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated May 29th, 2019 - about 6 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 1619059201 NPPES
Texas Other 651198393 EMPLOYER TX ID NUMBER
Texas Other 8P5630 EMPLOYER TX ID NUMBER
Texas Other 10029987 EMPLOYER TX ID NUMBER
Texas MEDICAID 165666201 EMPLOYER TX ID NUMBER

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