Kimberly George

Individual provider Active NPI Case Manager/Care Coordinator · Jefferson, TX

NPI 1780131995 · NPPES record last updated May 23, 2018

Key facts

NPI
1780131995
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
261 Ma County Road 3430
Jefferson, TX 75657
Phone
(903) 930-5565
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

261 Ma County Road 3430
Jefferson, TX 75657

Mailing address

261 Ma County Road 3430
Jefferson, TX 75657-5763
Phone (903) 930-5565

Other providers in Jefferson, TX

All providers in Jefferson, TX · Case Manager/Care Coordinator in Texas

Sources for this page

Verify at the official NPI Registry.