Individual
MELISSA KIMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 443-2519
Mailing address
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4591
(479) 521-1427
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R090560
AR
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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