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Dr. Kimberly A. Addis, MD
General Practice Physician in Longview, Texas
NPI 1720064652

Kimberly A. Addis is a General Practice Physician based in Longview, TX. Kimberly A. Addis practices in Longview, TX and has the professional credentials of MD. The NPI Number for Kimberly A. Addis is 1720064652 and holds a License No. DR.0050065 (Texas).

The current practice location address for Kimberly A. Addis is 4777 Us Highway 259, Longview, TX and can be reached out via phone at 903-663-7393 and via fax at 903-663-7394.

Location: 4777 Us Highway 259, Longview, TX, 75605-7668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720064652
Provider Name
Kimberly A. Addis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4777 Us Highway 259, Longview, TX, 75605-7668
Phone Number
903-663-7393
Fax Number
903-663-7394
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4777 Us Highway 259
City
Longview
State
Texas
Zip
75605-7668
Phone Number
903-663-7393
Fax Number
903-663-7394
person
Provider Business Mailing Address Details
Address
4777 Us Highway 259
City
Longview
State
Texas
Zip
75605-7668
Phone Number
903-663-7393
Fax Number
903-663-7394
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
M1446 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
M1466 (Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
DR.0050065 (Colorado)
Definition
Definition to come...
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