MRS. KIMBERLY ANN KEMNITZER FNP-C NPI 1336327055

NPI Information

NPI: 1336327055
Provider Name: MRS. KIMBERLY ANN KEMNITZER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1415 W SCENIC RIVERS BLVD
SALEM, MO
ZIP 65560
Phone: (573) 729-5533
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MRS. Kimberly Ann Kemnitzer, FNP-C is a family nurse practitioner in Salem, MO. MRS. Kimberly Ann Kemnitzer, FNP-C NPI is 1336327055. 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:

1415 W SCENIC RIVERS BLVD
SALEM, MO
ZIP 65560-840
Phone: (573) 729-5533
Fax: (573) 202-2466

The NPI 1336327055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/10/2023.

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	363LF0000X	Nurse Practitioner	Family	2004019274	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004019274	MEDICAID	MISSOURI
2	26D0679044	OTHER	MISSOURI	CLIA
3	1306885587	MEDICAID	MISSOURI
4	1447412770	MEDICAID	MISSOURI
5	26D0889777	OTHER	MISSOURI	CLIA
6	1235178930	MEDICAID	MISSOURI
7	1710004486	MEDICAID	MISSOURI

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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