Individual
KIMBERLY C. GIBSON-CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6500 HOSPITAL DR, FAMILY MEDICINE, HANNIBAL, MO 63401-6890
(573) 629-3400
(573) 629-3414
Mailing address
PO BOX 1257, 6500 HOSPITAL DRIVE, HANNIBAL, MO 63401-1257
(573) 406-5888
(573) 406-5889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041359642
IL
163W00000X
Registered Nurse
146869
MO
363LF0000X
Family Nurse Practitioner
Primary
2014037315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420017786
—
MO
Enumeration date
09/25/2014
Last updated
01/12/2026
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