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Individual

MRS. KIMBERLY RUTH MASTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CWCN, COCN,CCCN

Contact information

Practice address
1101 VETERANS DR # 118, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR # 118, LEXINGTON, KY 40502-2235
(859) 233-4511

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
1060942
KY
163WW0000X
Wound Care Registered Nurse
Primary
1060942
KY
163WX1500X
Ostomy Care Registered Nurse
1060942
KY

Other

Enumeration date
02/06/2012
Last updated
02/06/2012
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