Individual
KIMBERLY L EBERSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-3961
(573) 884-4277
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
123260
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
123260
MO
364SP0200X
Pediatric Clinical Nurse Specialist
123260
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195637
BLUE SHIELD/BLUE CHOICE
MO
05
—
429459506
—
MO
01
—
693696
HEALTHLINK
MO
Enumeration date
06/01/2006
Last updated
09/14/2022
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