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Individual
BONNELIA M KIMBLE
Active
Individual
BONNELIA M KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004268
KY
363L00000X
Nurse Practitioner
4268P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000533456
ANTHEM PIN
KY
01
—
000000693047
ANTHEM - NCVA
KY
01
—
000057080V
HUMANA - NCVA
KY
01
—
122023
SIHO - NCVA
KY
05
—
7100147010
—
KY
01
—
P00992186
RAILROAD MEDICARE - KY
KY
Enumeration date
07/23/2006
Last updated
01/20/2021
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