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Miss Kimberly Anne Wyatt, PA-C
Medical Physician Assistant in Longview, Texas
NPI 1538490297

Kimberly Anne Wyatt is a Medical Physician Assistant based in Longview, TX and is specialized in Medical. Kimberly Anne Wyatt practices in Longview, TX and has the professional credentials of PA-C. The NPI Number for Kimberly Anne Wyatt is 1538490297 and holds a License No. 1091066 (Texas).

The current practice location address for Kimberly Anne Wyatt is 709 Hollybrook Dr Ste 4500, Longview, TX and can be reached out via phone at 903-291-6287 and via fax at 903-291-6286.

Location: 709 Hollybrook Dr Ste 4500, Longview, TX, 75605-2412
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Provider Profile Details
NPI Number
1538490297
Provider Name
Kimberly Anne Wyatt
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
709 Hollybrook Dr Ste 4500, Longview, TX, 75605-2412
Phone Number
903-291-6287
Fax Number
903-291-6286
Provider Enumeration Date
01/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1091066 01 TX NCCPA CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
709 Hollybrook Dr Ste 4500
City
State
Zip
75605-2412
Phone Number
903-291-6287
Fax Number
903-291-6286
person
Provider Business Mailing Address Details
Address
709 Hollybrook Dr Ste 4500
City
State
Zip
75605-2412
Phone Number
903-291-6287
Fax Number
903-291-6286
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1091066 (Texas)
Definition
Definition to come...
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