Doctor Name: | KIMBERLY A MISAMORE |
NPI Number: | 1306170642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | BP10034115 |
Business Practice Address: | 1500 S Main St Dept Of Ob/gyn Fort Worth, TX - 761044917 |
Business Phone Number: | 8179213431 |
Business Fax Number: | |
Mailing Address: | 1500 S. Main Street, Dept Of Ob/gyn FORT WORTH |
State: | TX |
Postal Code: | 761044941 |
Phone Number: | 8179213431 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2009 |
NPI Last Update Date: | 09/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | BP10034115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |