MEDICARE: MS. KIMBERLEY DUNN NP-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	363LF0000X	Family Nurse Practitioner	95039437	CA
2	363LF0000X	Family Nurse Practitioner	11024250	FL
3	363LF0000X	Family Nurse Practitioner	26NJ14950000	NJ
4	363LF0000X	Family Nurse Practitioner	74022	NM
5	363LF0000X	Family Nurse Practitioner	LG-0012207	DE
6	363LF0000X	Family Nurse Practitioner	AP133444	TX
7	363LF0000X	Family Nurse Practitioner	SP027422	PA

General Provider Information

NPI Number	:	1114467982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLEY DUNN NP-C

Provider Business Mailing Address
First Line	:	2621 JOANEL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5301
Country	:	US
Telephone Number	:	713-629-6288
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 JOANEL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5301
Country	:	US
Telephone Number	:	713-629-6288
Fax Number	:

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

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	05/27/2026

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