Kimbereley K Coleman, NP
Individual provider Active NPI Family Nurse Practitioner · Warrenton, MO
NPI 1083369375 · NPPES record last updated Feb 16, 2022
Key facts
- NPI
- 1083369375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2018012096 (MO)
- Practice address
- 19242 Township Line Rd
Warrenton, MO 63383-4446 - Phone
- (314) 578-0065
- NPI assigned
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018012096 | MO | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018012096 | MO | Yes |
Addresses
Primary practice location
19242 Township Line Rd
Warrenton, MO 63383-4446
Mailing address
19242 Township Line Rd
Warrenton, MO 63383-4446
Phone (314) 578-0065
Other providers in Warrenton, MO
- Churchill Family Counseling
- Tina Marie Churchill
- Tracy Lynn Clark
- Clarkson Optometry Inc
- Claybrooke Medical Group, LLC
- Ellen Hill Colgan
- Aaron Wewers Collier
- Timothy C Collins
- Compass Health, Inc
- Compass Health, Inc.
All providers in Warrenton, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.