Dr. Kimberly A. Addis, M.D.
Radiology, Diagnostic Radiology in Longview, TX. Individual provider (NPI-1).
NPI number1720064652
StatusActive
Last updated in NPPESOct 13, 2015
Details
- NPI
- 1720064652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly A. Addis
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2005
- Last updated
- Oct 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M1466 | TX | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | M1446 | TX | |
| 208D00000X | General Practice | M1446 | TX | |
| 2085R0202X | Radiology, Diagnostic Radiology | DR.0050065 | CO |
Practice location
4777 Us Highway 259Longview, TX 75605-7668
Phone 903-663-7393 · Fax 903-663-7394
Mailing address
4777 Us Highway 259Longview, TX 75605-7668
Phone 903-663-7393 · Fax 903-663-7394
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