Individual
MRS. KIMBERLY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
300 BECCA DR, ROLLA, MO 65401-8463
(314) 833-8697
Mailing address
300 BECCA DR, ROLLA, MO 65401-8463
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
2004001
MO
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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