MEDICARE: DR. KIMBERLY LYNN STRICKLAND DO

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	207Q00000X	Family Medicine Physician	P3081	TX

General Provider Information

NPI Number	:	1629354154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY LYNN STRICKLAND DO

Provider Business Mailing Address
First Line	:	2106 N MAIN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76164-8511
Country	:	US
Telephone Number	:	817-625-4254
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 SANTA FE DR STE 107
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5867
Country	:	US
Telephone Number	:	817-341-7670
Fax Number	:	817-341-7678

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

Provider Enumeration Date	:	10/28/2011
Last Update Date	:	10/28/2016

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