| Doctor Name: | MRS. KIMBERLY BETH WALDRIP |
| NPI Number: | 1982946836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 590167 |
| Business Practice Address: | 919 E Main St Brownfield, TX - 793164633 |
| Business Phone Number: | 8066372164 |
| Business Fax Number: | |
| Mailing Address: | Po Box 751, CALDWELL |
| State: | TX |
| Postal Code: | 778360751 |
| Phone Number: | 9793243209 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2013 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 590167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |