Provider Demographics
NPI:1780981837
Name:FURR, KIMBERLY ANN (CSFA)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:FURR
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:WESTENRIEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSFA
Mailing Address - Street 1:1612 QUAIL SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-1508
Mailing Address - Country:US
Mailing Address - Phone:469-693-6449
Mailing Address - Fax:214-367-4370
Practice Address - Street 1:1612 QUAIL SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-1508
Practice Address - Country:US
Practice Address - Phone:469-693-6449
Practice Address - Fax:214-367-4370
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105694246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant