Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY MARIE WICKLINE, AGNP
Active Sole ProprietorMRS. KIMBERLY MARIE WICKLINE, AGNP is a Adult Health Nurse Practitioner healthcare provider located in BALLWIN, Missouri. NPI 1376200733 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · BALLWIN, MO
Registration Details
- NPI Number
- 1376200733
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2021 (4.69607072082 yrs)
- Last Updated
- Feb 8, 2022
- License
-
2021043381 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15945 CLAYTON RD STE 340BALLWIN, MO, 630112492Browse MO providers · Browse ZIP 63011
- Phone
- 6362565130
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in BALLWIN, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY ELIZABETH MALEN | N.P. | 1386784676 |
| MRS. JULIE MAY STOUT | ANP-BC | 1639209745 |
| SUSAN M SULLIVAN | FNP | 1679900757 |
| GEORGIANA NCHOTEBAH | — | 1952753949 |
| CATHERINE DOLPHIN SMITH | NP | 1336629641 |
| LORI SNIATKEWICZ | — | 1477146207 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.