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NPI Profile for Dr KIMBERLY A ADDIS in LONGVIEW, TX.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1720064652 |
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| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 12/22/2005 | |
| Last updated | 10/13/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KIMBERLY A ADDIS
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KIMBERLY A ADDIS, MD