Individual
MRS. KIMBERLY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN/AGNP
Contact information
Practice address
211 SAINT FRANCIS DR STE 372, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5525
(573) 331-5558
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2002016182
MO
363L00000X
Nurse Practitioner
Primary
2017004964
MO
Other
Enumeration date
09/14/2016
Last updated
03/02/2021
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