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Kathleen Leah Carroll, APN
Gerontology Nurse Practitioner in Boerne, Texas
NPI 1477577567

Kathleen Leah Carroll is a Gerontology Nurse Practitioner based in Boerne, TX and is specialized in Gerontology. Kathleen Leah Carroll practices in Boerne, TX and has the professional credentials of APN. The NPI Number for Kathleen Leah Carroll is 1477577567 and holds a License No. 516229 (Texas).

The current practice location address for Kathleen Leah Carroll is 113 Pleasant Valley Dr Ste 210, Boerne, TX and can be reached out via phone at 830-267-4575.

Location: 113 Pleasant Valley Dr Ste 210, Boerne, TX, 78006-5683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477577567
Provider Name
Kathleen Leah Carroll
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
113 Pleasant Valley Dr Ste 210, Boerne, TX, 78006-5683
Phone Number
830-267-4575
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182691901 05 TX
institution
Provider Business Practice Location Address Details
Address
113 Pleasant Valley Dr Ste 210
City
Boerne
State
Texas
Zip
78006-5683
Phone Number
830-267-4575
Fax Number
person
Provider Business Mailing Address Details
Address
113 Pleasant Valley Dr Ste 210
City
Boerne
State
Texas
Zip
78006-5683
Phone Number
830-267-4575
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
516229 (Texas)
Definition
Definition to come...
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