# MRS. KIMBERLY COKER BRUNSTING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518959444
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1-078166 | AL | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 09/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10071082 | AMERIGROUP COMMUNITY CARE | TN |
| 05 | — | 3901756 | — | TN |
| 01 | — | 4084805 | BCBS | TN |
| 01 | — | 7100000620 | KY MEDICAID | KY |
| 01 | — | P00048664 | RAILROAD MEDICARE | TN |