Kimberly Ardoin
Licensed Vocational Nurse in Tyler, TX. Individual provider (NPI-1).
NPI number1053941997
StatusActive
Last updated in NPPESJan 20, 2020
Details
- NPI
- 1053941997
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ardoin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2020
- Certification date
- Jan 20, 2020
- Last updated
- Jan 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 345437 | TX | Yes |
Practice location
9846 Highway 31 ETyler, TX 75705-2329
Phone 903-592-8001
Mailing address
9846 Highway 31 ETyler, TX 75705-2329
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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