Individual
MS. KIMBERLY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
330 FOX HUNT TRL, BARRINGTON, IL 60010-3423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2014024807
MO
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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