| Doctor Name: | HAZEL DARLEEN KIMBROUGH |
| NPI Number: | 1104848431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 595462 |
| Business Practice Address: | 1514 Ellis Ave Lufkin, TX - 759043104 |
| Business Phone Number: | 9366332728 |
| Business Fax Number: | 9366372478 |
| Mailing Address: | 9808 Fm 226, NACOGDOCHES |
| State: | TX |
| Postal Code: | 759616689 |
| Phone Number: | 9366332728 |
| Fax Number: | 9366372478 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 595462 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |