Individual
EBONY LADONNA TRULER KIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4404 BOOTH ST, KANSAS CITY, KS 66103-3419
(913) 381-8233
Mailing address
4404 BOOTH ST, KANSAS CITY, KS 66103-3419
(573) 823-3540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-161850-031
KS
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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