Individual
MS. KIM MATTHEWS
Active
Individual
MS. KIM MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
110176
NE
Other
Enumeration date
01/16/2007
Last updated
05/15/2008
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