Individual
KIMBERLY ANN BUNTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1219 S MAIN ST, PALMYRA, MO 63461-1943
(573) 769-6166
(573) 769-2356
Mailing address
PO BOX 208, PALMYRA, MO 63461-1923
(573) 769-1066
(573) 769-2356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7925
SC
225100000X
Physical Therapist
Primary
R1127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483875811
—
MO
Enumeration date
03/16/2007
Last updated
07/21/2022
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