MEDICARE: KIMBERLY POSEY ANP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	641426	TX
2	363LG0600X	Gerontology Nurse Practitioner	641426	TX

General Provider Information

NPI Number	:	1326261223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY POSEY ANP-C

Provider Business Mailing Address
First Line	:	855 MONTGOMERY ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-2644
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 MONTGOMERY ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-2644
Country	:	US
Telephone Number	:	817-735-0265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	01/17/2018

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Directions to “ KIMBERLY POSEY ANP-C” Practice Location

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