Individual
KIMBERLY R BHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9601 BAPTIST HEALTH DR DEPT OF, LITTLE ROCK, AR 72205-6321
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211-4316
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003279
AR
367500000X
Certified Registered Nurse Anesthetist
D136705
IA
367500000X
Certified Registered Nurse Anesthetist
RN601842
PA
Other
Enumeration date
10/04/2012
Last updated
04/16/2019
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