Individual
MRS. KIMBERLY K BRUYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2708 RIFE MEDICAL LN, SUITE 210, ROGERS, AR 72758-1452
(479) 338-3888
(479) 338-4453
Mailing address
2708 RIFE MEDICAL LN, SUITE 210, ROGERS, AR 72758-1452
(479) 338-3888
(479) 338-4453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A003069
AR
Other
Enumeration date
07/07/2006
Last updated
11/16/2015
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