Individual
MRS. KIMBERLY KAY REGNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5571 GRETNA RD, BRANSON, MO 65616-7287
(417) 243-2300
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(417) 243-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
P-T0713
AR
363AM0700X
Medical Physician Assistant
Primary
KS15-01578
KS
Other
Enumeration date
07/26/2007
Last updated
06/24/2021
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