KIMBERLY LUCILLE BLACK

MONETT, MO
NPI1255878989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2017004149)
Enumeration Date2017-01-19
Last Update Date2017-02-28
Business Address
-- KIMBERLY LUCILLE BLACK PMHNP
411 3RD ST
MONETT, MO 65708-2008
Phone number: 417-476-1000
Mailing Address
-- KIMBERLY LUCILLE BLACK PMHNP
PO BOX 100
PIERCE CITY, MO 65723-2100
Phone number: 417-476-1000
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