Doctor Name: | KIMBERLY A WINKLEY |
NPI Number: | 1164690517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 46168 |
Business Practice Address: | 17053 S 71 Hwy Suite 203 Belton, MO - 64012 |
Business Phone Number: | 8163220688 |
Business Fax Number: | 8163224722 |
Mailing Address: | 17053 S 71 Hwy, Suite 203 BELTON |
State: | MO |
Postal Code: | 64012 |
Phone Number: | 8163220688 |
Fax Number: | 8163224722 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 46168 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |