Doctor Name: | KIMBERLY DENISE VANPELT |
NPI Number: | 1023459948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 637190 |
Business Practice Address: | 500 W Medical Center Blvd Webster, TX - 775984220 |
Business Phone Number: | 2813322511 |
Business Fax Number: | |
Mailing Address: | 207a Sunnyview, FRIENDSWOOD |
State: | TX |
Postal Code: | 77546 |
Phone Number: | 2818143698 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 637190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |