Individual
KIMBERLY SUE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 508-8605
(870) 508-8130
Mailing address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 508-8605
(870) 508-8130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2010040040
MO
363LF0000X
Family Nurse Practitioner
Primary
A03476
AR
Other
Enumeration date
02/02/2011
Last updated
02/28/2012
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