Doctor Name: | KIMBERLY K. MCGINN-PERRYMAN |
NPI Number: | 1033210331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC,FNP |
License Number: | 2005000404 |
Business Practice Address: | 202 N Commercial St Seymour, MO - 657468858 |
Business Phone Number: | 4172692100 |
Business Fax Number: | 4172692103 |
Mailing Address: | 3800 S National Ave, #540 SPRINGFIELD |
State: | MO |
Postal Code: | 658075209 |
Phone Number: | 4172692100 |
Fax Number: | 4172692103 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2005000404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |