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General NPI Number Information
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NPI Number | 1336717065
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Entity Type | Individual
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Provider Name | KIMBERLY FLETCHER DO
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Gender | Female
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DRIVE
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City | JBSA FORT SAM HOUSTON
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State | TX
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Zip | 78236
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Country | US
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Telephone | 210-916-7500
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Fax |
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Provider Business Mailing Address
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Address Line | BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DRIVE
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City | JBSA FORT SAM HOUSTON
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State | TX
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Zip | 78236
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | BP10074542
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 2760
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License Number State | NE
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