Individual
MRS. KIMBERLY ANN KEMNITZER
Active
Individual
MRS. KIMBERLY ANN KEMNITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004019274
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235178930
—
MO
05
—
1306885587
—
MO
05
—
1447412770
—
MO
05
—
1710004486
—
MO
05
—
2004019274
—
MO
01
—
26D0679044
CLIA
MO
01
—
26D0889777
CLIA
MO
Enumeration date
02/05/2008
Last updated
06/19/2024
Update your record
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