Individual
KIMBERLY MARIE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 GRAND PRAIRIE DR, WILLARD, MO 65781-9773
(417) 742-2617
(417) 742-6887
Mailing address
PO BOX 305, WILLARD, MO 65781-0305
(417) 742-2617
(417) 742-6887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2019039647
MO
Other
Enumeration date
10/31/2019
Last updated
04/13/2021
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