Individual
KIMBERLY VINACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1065 SKYLINE DR, CONWAY, AR 72032-3530
(501) 499-6222
Mailing address
4 SETHSTONE DR, GREENBRIER, AR 72058-9290
(501) 730-8160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124074
AR
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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