MEDICARE: MS. KATHLEEN ANN KIMBALL-DOYLE RPH

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	183500000X	Pharmacist	26081	TX

General Provider Information

NPI Number	:	1770840506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN ANN KIMBALL-DOYLE RPH

Provider Business Mailing Address
First Line	:	3307 BLUEBONNET MEADOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084
Country	:	US
Telephone Number	:	713-818-7407
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 BLUEBONNET MEADOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084
Country	:	US
Telephone Number	:	713-818-7407
Fax Number	:

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	04/18/2012

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