KIMBERLY LORENE BLAKE

CONWAY, AR
NPI1689971749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A03482 ANP)
Enumeration Date2011-02-24
Last Update Date2017-05-10
Business Address
Ms. KIMBERLY LORENE BLAKE FNP-C
1125 SKYLINE DR
CONWAY, AR 72032-6657
Phone number: 501-358-6120
Mailing Address
Ms. KIMBERLY LORENE BLAKE FNP-C
1125 SKYLINE DR
CONWAY, AR 72032-2857
Phone number: 501-358-6120
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