Individual provider · Type 1 NPI

Kimberly A. Addis, MD

Diagnostic Radiology Physician · Longview, TX

NPI number 1720064652 Active

Practice location

4777 US Highway 259
Longview, TX 75605-7668

Fax (903) 663-7394

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XDR.0050065 (CO)
Diagnostic Radiology Physician Primary 2085R0202XM1466 (TX)
Vascular & Interventional Radiology Physician 2085R0204XM1446 (TX)
General Practice Physician 208D00000XM1446 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3 other providers at this address

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About NPI 1720064652

Kimberly A. Addis, MD's National Provider Identifier is 1720064652, issued on Dec 22, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Longview, TX. The record was last updated on Oct 13, 2015.