KIMBERLY MARIE BRUCE NPI 1215571476

NPI Information

NPI: 1215571476
Provider Name: KIMBERLY MARIE BRUCE
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
128 GRAND PRAIRIE DR
WILLARD, MO
ZIP 65781
Phone: (417) 742-2617
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Kimberly Marie Bruce is a chiropractor in Willard, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Kimberly Marie Bruce NPI is 1215571476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

128 GRAND PRAIRIE DR
WILLARD, MO
ZIP 65781-773
Phone: (417) 742-2617
Fax: (417) 742-6887

The enumeration date for this NPI number is 10/31/2019 and was last updated on 4/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2019039647	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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