Individual
DR. KIMBERLY NIX HURLBUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1525 COUNTRY CLUB ROAD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Mailing address
1525 COUNTRY CLUB ROAD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C8385
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124035001
—
AR
01
—
5J148
BLUECROSSBLUESHIELD #
AR
Enumeration date
07/11/2006
Last updated
07/10/2023
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