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Contact Information

KIMBERLY R NEELY, GNP
4201 INTERWAY PL
ARLINGTON, TX76018-5668
 Phone: 972-978-2317
 Fax: 800-782-4295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

163WG0600X
Indicates primary specialty

NPI Profile & details for KIMBERLY R NEELY · (Female)

NPI # 1841239738
Status Active
Credentials GNP (Gerontological Nurse Practitioner)
Entity Individual
Enumeration date 06/06/2006
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 631908
  • TX License # AP107482
  • TX Medicaid 117391607
  • TN Other BC/BS 8N7188
Hospital affiliation(s)
  • DOCTORS HOSPITAL - (Acute Care)
    9440 POPPY DR
    DALLAS, TX 75218
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS - (Acute Care)
    8200 WALNUT HILL LANE
    DALLAS, TX 75231
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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