Most Relevant Information
Provider Data
| NPI Number: | 1003048604 |
| Provider Name: | NATHAN A KIMBREL PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 1979 |
Most Important Dates
| Enumeration Date: | 08/14/2009 |
| Last Updated: | 08/12/2011 |
Provider Practice Location
4800 MEMORIAL DRIVE (151C), CENTER OF EXCELLENCE
CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
WACO
TX
767111329
Practice Location Phone/Fax
| Phone: | 2542975232 |
| Fax: |
Provider Mailing Location
4800 MEMORIAL DRIVE (151C), CENTER OF EXCELLENCE
CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
WACO
TX
767111329
Provider Mailing Phone/Fax
| Phone: | 2542975232 |
| Fax: |