| NPI | 1316154693 |
|---|---|
| Other Name | KIMBERLY ANN SHAFER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SHAFER Owner 432-714-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 578393) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-07-02 |