Individual
KIMBERLY A HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
420 PIEDMONT AVE, PIEDMONT, MO 63957-1024
(573) 223-4233
(573) 223-2136
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
089862
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004013890
MEDICARE
MO
Enumeration date
12/15/2005
Last updated
03/05/2021
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