MEDICARE: KIMBERLY A HILMER FNP

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	617313	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902021850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A HILMER FNP

Provider Business Mailing Address
First Line	:	PO BOX 761
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-0761
Country	:	US
Telephone Number	:	817-372-9200
Fax Number	:	877-515-5209

Provider Business Practice Location Address
First Line	:	5700 E I-20 SERVICE RD SOUTH
Second Line	:	#100
City	:	ALEDO
State	:	TX
Zip	:	76008-5115
Country	:	US
Telephone Number	:	817-489-7300
Fax Number	:	817-489-7302

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	05/06/2020

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