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MRS. KIMBERLY RENEE BLUMENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
3794 HIGHWAY 468 W, PEARL, MS 39208-9008
(601) 932-2880
Mailing address
211 TERRY BROOK DR, TERRY, MS 39170-5504
(601) 750-8513

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
904661
MS

Other

Enumeration date
07/23/2024
Last updated
07/25/2024
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