Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Diane Pullen, PA

Individual provider Physician Assistant · NPI 1881923530

Kimberly Diane Pullen, PA is a Physician Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4701 Boat Club Rd Ste 200
Fort Worth, TX 76135-5285
Phone: (817) 237-0515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA06489 (TX)

Record details

NPI number1881923530
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2009
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 15, 2022

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