Individual
SHIRLEY KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
906327
MS
363LG0600X
Gerontology Nurse Practitioner
906327
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
906327
MS
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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