Micus, Kimberly L.

Micus, Kimberly L. is an individual health care provider with primary practice located at 120 Hillcrest Medical Blvd Suite 300, Waco TX 76712-8948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Micus, Kimberly L. can be contacted via phone (254) 313-6500.

Contact Information

Primary practice address
120 Hillcrest Medical Blvd Suite 300 Waco TX 76712-8948
Fax: (254) 313-6599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K2963 Texas

Profile Details

NPI number 1235199753
LBN Legal business name Micus, Kimberly L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 18th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235199753 NPPES
Texas MEDICAID 037038904
Texas MEDICAID 0370389-01
Texas Other 160050362
Texas Other 80314N

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