Middleton, Kimberly

Middleton, Kimberly is an individual health care provider with primary practice located at 4170 Lavon Dr Ste 146 , Garland TX 75040-2975. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Middleton, Kimberly can be contacted via phone (972) 495-7224.

Contact Information

Primary practice address
4170 Lavon Dr Ste 146 Garland TX 75040-2975
Phone: (972) 495-7224
Fax: (708) 756-4026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036103921 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X S4192 Texas

Profile Details

NPI number 1619944857
LBN Legal business name Middleton, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 15th, 2021 - about 3 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 1619944857 NPPES
Other KM086980 CHAMPUS-CHAMPUS
MEDICAID 484049210 CHAMPUS-CHAMPUS
Other 080H262390 CHAMPUS-CHAMPUS
Other KM086980 CHAMPUS-CHAMPUS

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