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Kimberly Mettetal is one of 100 nurse practitioners practicing in League City, Texas .
Kimberly Mettetal practices with The Gulf Coast Center.
Registry record (NPPES)
NPI
1194911453
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
8626 Airways Blvd Southaven, MS 38671-2603 (662) 772-5937
Enumerated
Sep 20, 2007
Record last updated
Jul 14, 2025
License states listed
MN, MO, MS, OR, TX, WA, WI
Medicare (CMS)
Enrollment
Medicare-enrolled in MS, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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