HOLLY ELAINE KIMBALL AGPCNP NPI 1174057855

NPI Information

NPI: 1174057855
Provider Name: HOLLY ELAINE KIMBALL, AGPCNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
718 N 2ND ST STE A
KILLEEN, TX
ZIP 76541
Phone: (254) 618-4211
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Holly Elaine Kimball, AGPCNP is a primary care nurse practitioner in Killeen, TX. Holly Elaine Kimball, AGPCNP NPI is 1174057855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

718 N 2ND ST STE A
KILLEEN, TX
ZIP 76541-709
Phone: (254) 618-4211

The NPI 1174057855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 2/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	1108466	TEXAS	No
2	364S00000X	Clinical Nurse Specialist		AP133825	TEXAS	No
3	364S00000X	Clinical Nurse Specialist		713761	TEXAS	No
4	364SG0600X	Clinical Nurse Specialist	Gerontology	AP133825	TEXAS	No
5	363LP2300X	Nurse Practitioner	Primary Care	1108466	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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