Provider Demographics
NPI:1093302481
Name:BORCHERT, KIMBERLY (CD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:BORCHERT
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 PETALUMA DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2829
Mailing Address - Country:US
Mailing Address - Phone:512-574-2789
Mailing Address - Fax:
Practice Address - Street 1:905 PETALUMA DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2829
Practice Address - Country:US
Practice Address - Phone:512-574-2789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula