Individual
MRS. KIMBERLY R. BODEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1662 HIGDON FERRY RD, SUITE 200, HOT SPRINGS, AR 71913-6912
(501) 623-2781
(501) 623-1774
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 623-2781
(501) 623-1774
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S01064CNS
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183336758
—
AR
Enumeration date
04/25/2006
Last updated
07/07/2016
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