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
Phone: (254) 313-6500
Fax: (254) 313-6599
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235199753 | NPPES |
Texas | MEDICAID | 037038904 | |
Texas | MEDICAID | 0370389-01 | |
Texas | Other | 160050362 | |
Texas | Other | 80314N |
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