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Export Provider Record NPI 1306170642
Kimberly A MisamoreMD
Active
NPI Number1306170642
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1306170642
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-09-18
Last Updated2024-02-07
Mailing Address2800 E Broad St Ste 100
Mansfield, TX 76063-6410
United States
Phone: (682) 518-1035 | Fax: (682) 518-1045
📍 View Map
Primary Practice Address2800 E Broad St Ste 100
Mansfield, TX 76063-6410
United States
Phone: (682) 518-1035 | Fax: (682) 518-1045
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyTXBP10034115
Export Provider Record NPI 1306170642
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About NPI 1306170642

Kimberly A Misamore MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306170642. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Mansfield, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-09-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1306170642?

NPI 1306170642 belongs to Kimberly A Misamore MD, a Obstetrics & Gynecology in Mansfield, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1306170642 active?

The current status of NPI 1306170642 in the NPPES registry is Active. The record was last updated on 2024-02-07.

What specialty is NPI 1306170642?

NPI 1306170642 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1306170642?

You can verify NPI 1306170642 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1306170642?

The primary practice address on file for NPI 1306170642 is 2800 E Broad St Ste 100, Mansfield, TX 76063-6410. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1306170642 issued?

NPI 1306170642 was first issued (enumerated) on 2009-09-18. The NPPES record was last updated on 2024-02-07.

Practice Location Map

Kimberly A Misamore is located at 2800 E Broad St Ste 100, Mansfield, TX. Use the map below to find directions or verify the practice location.

📍 2800 E Broad St Ste 100, Mansfield, TX 76063-6410  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kimberly A Misamore. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1306170642. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & GynecologyBP10034115TX
Data Verified from CMS NPPES Last synced: 2026-08-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162