Individual
KIMBERLY DAWN TE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
130 E HARBIN AVE, PUXICO, MO 63960-9104
(573) 222-3557
(573) 222-3127
Mailing address
130 E. HARBIN AVENUE, PUXICO, MO 63960-9104
(573) 222-3557
(573) 222-3127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011027099
MO
Other
Enumeration date
09/07/2011
Last updated
05/28/2024
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