Individual
ALISON ANNE KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6488
Mailing address
2201 HIGHWAY F, DEFIANCE, MO 63341-1603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006003044
MO
363LF0000X
Family Nurse Practitioner
Primary
2011022110
MO
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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