KAITLYN SHANE KIMBROUGH

FORT WORTH, TX
NPI1912601733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA16774)
Enumeration Date2023-03-27
Last Update Date2026-02-03
Business Address
KAITLYN SHANE KIMBROUGH PA-C
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-2500
Mailing Address
KAITLYN SHANE KIMBROUGH PA-C
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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