Individual
KIMBERLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
156 MISSOURI BLVD STE B, GRAVOIS MILLS, MO 65037-5394
(573) 374-5263
(573) 374-4933
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8399
(573) 348-8309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041208888
IL
363LF0000X
Family Nurse Practitioner
209.004230
IL
Other
Enumeration date
09/08/2006
Last updated
07/21/2022
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