Individual
MS. JENNY BETH KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8401 N RUSHVILLE RD, CARTHAGE, IN 46115-9771
(847) 612-2199
Mailing address
8401 N RUSHVILLE RD, CARTHAGE, IN 46115-9771
(847) 612-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
309-002631
IL
Other
Enumeration date
07/31/2006
Last updated
10/28/2012
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