Provider Demographics
NPI:1235344029
Name:ADKINS, KIMBERLY (RN)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 S WASHINGTON ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110-2052
Mailing Address - Country:US
Mailing Address - Phone:806-355-5721
Mailing Address - Fax:806-355-5775
Practice Address - Street 1:4400 S WASHINGTON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-2052
Practice Address - Country:US
Practice Address - Phone:806-355-5721
Practice Address - Fax:806-355-5775
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX696680163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX696680OtherRN