Provider Demographics
NPI:1629354154
Name:STRICKLAND, KIMBERLY LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:LYNN
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76164-8511
Mailing Address - Country:US
Mailing Address - Phone:817-625-4254
Mailing Address - Fax:
Practice Address - Street 1:925 SANTA FE DR STE 107
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5867
Practice Address - Country:US
Practice Address - Phone:817-341-7670
Practice Address - Fax:817-341-7678
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine