DR. KIMBERLY ADDIS, M.D.

Radiology - Diagnostic Radiology

Active Individual
NPI: 1720064652

Practice Address

4777 US HIGHWAY 259
Longview, TX 75605

Phone: (903) 663-7393

Specialties

Specialty Code Primary License
Radiology - Diagnostic Radiology 2085R0202X Yes M1466 (TX)
Radiology - Vascular & Interventional Radiology 2085R0204X No M1446 (TX)
General Practice 208D00000X No M1446 (TX)

Frequently Asked Questions

NPI 1720064652 is the National Provider Identifier for DR. KIMBERLY ADDIS, M.D., a Radiology - Diagnostic Radiology provider located in Longview, TX. This NPI was enumerated on December 22, 2005.
DR. KIMBERLY ADDIS, M.D. practices at 4777 US HIGHWAY 259, Longview, TX 75605.

Quick Facts

NPI
1720064652
Type
Individual
Enumerated
Dec 22, 2005
Last Updated
Oct 13, 2015

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