# KIMBERLY DOOLIN

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

## Provider details

- **NPI number:** 1982171625
- **Gender:** F
- **Credential:** RN, BSN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 2013003961 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2019002365 | MO | Yes |

## Other

- **Enumeration date:** 10/31/2018
- **Last updated:** 09/12/2019