Individual
MISS KIMBERLY DAWN HORNBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2135 N COLLECTIVE LN, WICHITA, KS 67206-3560
(316) 261-3221
(316) 261-3298
Mailing address
2135 N COLLECTIVE LN, WICHITA, KS 67206-3560
(316) 261-3221
(316) 261-3298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-92014
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
53-46179
KS
Other
Enumeration date
03/13/2008
Last updated
04/15/2021
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