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KIMBERLY JOYCE BYWATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6801 E 117TH ST, KANSAS CITY, MO 64134-3701
(816) 554-4285
(816) 554-5550
Mailing address
6801 E 117TH ST, KANSAS CITY, MO 64134-3701
(816) 554-4285
(816) 554-5550

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
13-60603-022
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098080A
KS
01
2001022863
2001022863
MO
Enumeration date
03/29/2007
Last updated
10/31/2016
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