Individual
MS. KIMBERLY JEAN ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1965 S FREMONT, STE 260, SPRINGFIELD, MO 65804-2257
(417) 820-0280
(417) 820-0290
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
152395
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053429761
—
MO
05
—
192788758
—
AR
01
—
431560263
TRICARE
MO
01
—
P01037293
MCR RR
MO
Enumeration date
08/25/2006
Last updated
08/30/2012
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