Individual provider · Type 1 NPI
Kimberly Large
General Practice Registered Nurse · San Antonio, TX
NPI number
1104648237
Active
Practice location
7400 Merton Minter St
San Antonio, TX 78229-4404
Mailing address
335 Whistling Duck
San Antonio, TX 78253-6136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 882607 (TX) |
General Practice Registered Nurse: Definition to come...
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About NPI 1104648237
Kimberly Large's National Provider Identifier is 1104648237, issued on Oct 29, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 29, 2024.