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NPI Profile for KIMBERLY VAN SICKEL in WHITEHOUSE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1083294805 |
|
| Status | Active | |
| Credentials | MA | |
| Entity | Individual | |
| Enumeration date | 04/14/2021 | |
| Last updated | 02/05/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLY VAN SICKEL
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KIMBERLY VAN SICKEL, MA