Individual
JENNIFER WREN KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6583
Mailing address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6583
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012011851
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209970904
—
MO
Enumeration date
04/13/2009
Last updated
04/30/2026
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