Addis, Kimberly A.

Addis, Kimberly A. is an individual health care provider with primary practice located at 4777 Us Highway 259 , Longview TX 75605-7668. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Addis, Kimberly A. can be contacted via phone (903) 663-7393.

Contact Information

Primary practice address
4777 Us Highway 259 Longview TX 75605-7668
Phone: (903) 663-7393
Fax: (903) 663-7394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0050065 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M1466 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X M1446 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X M1446 Texas

Profile Details

NPI number 1720064652
LBN Legal business name Addis, Kimberly A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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