| Doctor Name: | KIMBERLY ANN SPENCER SCHUP |
| NPI Number: | 1487869293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | J6739 |
| Business Practice Address: | 3106 50th St Ste. 400 Lubbock, TX - 794134132 |
| Business Phone Number: | 8066988088 |
| Business Fax Number: | 8066988588 |
| Mailing Address: | 3106 50th St, Ste. 400 LUBBOCK |
| State: | TX |
| Postal Code: | 794134132 |
| Phone Number: | 8066988088 |
| Fax Number: | 8066988588 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J6739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |