Kimberly Allison Glidewell M.S., PA-C

NPI 1124056189 - Physician Assistant - 363A00000X

NPI Details
NPI 1124056189
Gender Female
Enumeration Date 06/29/2006
Last Updated 09/25/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
912 LOREY LN
CALDWELL TX, 77836-1359, US
Phone (979) 224-3866
Fax
Business Location
912 LOREY LN
CALDWELL TX, 77836-1359, US
Phone (979) 224-3866
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA04405
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According to our database, Mrs. Kimberly Allison Glidewell M.S., PA-C NPI is 1124056189, taxonomy code is 363A00000X and license number is PA04405, license state is located at Texas. Kimberly Allison Glidewell M.S., PA-C physically located at 912 Lorey Ln, Caldwell TX, 77836-1359. NPI Number Kimberly Allison Glidewell M.S., PA-C has the Individual type.

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1124056189 NPI number is provided on an as is basis without warranty of any kind. 1124056189 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Allison Glidewell M.S., PA-C are for informational purposes only.