Kimberly Donelson CPNP

NPI 1750537767 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1750537767
Gender Female
Enumeration Date 08/09/2008
Last Updated 10/14/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS
SHREVEPORT LA, 71103-4228, US
Phone (318) 675-6093
Fax (318) 675-8832
Business Location
1512 W KIRBY PL
SHREVEPORT LA, 71103-3822, US
Phone (318) 675-7636
Fax (318) 675-7531
Toxanomy
Taxonomy Code 363LP0200X
License State Louisiana
License Number RN089397 AP05554
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According to our database, Kimberly Donelson CPNP NPI is 1750537767, taxonomy code is 363LP0200X and license number is RN089397 AP05554, license state is located at Louisiana. Kimberly Donelson CPNP physically located at 1501 Kings Hwy, Shreveport LA, 71103-4228. NPI Number Kimberly Donelson CPNP has the Individual type.

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1750537767 NPI number is provided on an as is basis without warranty of any kind. 1750537767 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Donelson CPNP are for informational purposes only.