Individual
KIMBERLY JO DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 MERCY WAY, STE 450, JOPLIN, MO 64804-4524
(417) 627-8377
(417) 627-8378
Mailing address
100 MERCY WAY, STE 450, JOPLIN, MO 64804-4524
(417) 627-8377
(417) 627-8378
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013032478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477988277
—
MO
05
—
200523270A
—
OK
05
—
201083650A
—
KS
01
—
P01265331
RAIL ROAD MEDICARE
MO
Enumeration date
09/11/2013
Last updated
03/17/2016
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