Individual
MS. REBECCA ELAINE KIMBELL
Active
Individual
MS. REBECCA ELAINE KIMBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0063706
OK
363LF0000X
Family Nurse Practitioner
Primary
2013009202
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135570059
MEDICARE PTAN
MO
05
—
1427212976
—
MO
05
—
200205320A
—
OK
Enumeration date
07/14/2008
Last updated
10/04/2016
Update your record
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