Individual
MS. KIMBERLY JO ADAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12511 WORLD PLAZA LN, BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Mailing address
12511 WORLD PLAZA LN, BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9176682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008582400
—
FL
Enumeration date
04/15/2013
Last updated
06/01/2015
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