Individual
JORDAN KIMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005
(314) 254-9292
Mailing address
124 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015041444
MO
Other
Enumeration date
01/15/2016
Last updated
08/14/2018
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