Individual
MRS. ALLYSON PERKINS KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1359365
MN
367500000X
Certified Registered Nurse Anesthetist
40758
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053656
—
NC
05
—
NAN915
—
SC
Enumeration date
03/20/2006
Last updated
01/20/2010
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