Individual ProviderKimberly ScrogginsLicensed Vocational NurseNursing Service ProvidersPractice Address755 S Beckham Ave, Tyler, TX 75701-1903(337) 378-9304PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Scroggins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1538702089Provider TypeIndividualFull NameScroggins, KimberlyGenderFemaleSole ProprietorNoEnumeration Date10/28/2019Last Updated10/28/2019Contact InformationPractice LocationPractice Address755 S Beckham Ave, Tyler, TX 75701-1903Phone(337) 378-9304FaxUnlisted FaxMailing LocationMailing Address755 S Beckham Ave, Tyler, TX 75701-1903PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense346971Texas