Kimberly Carol Thornhill, NP
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1326348277
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1326348277
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Carol Thornhill
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2010
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2018012307 | MO | Yes |
Other names
- Kimberly Carol Van Diggelen (Former Name)
Practice location
3015 N Ballas RdSaint Louis, MO 63131-2329
Phone 314-996-5060 · Fax 314-996-5496
Mailing address
3015 N Ballas RdSaint Louis, MO 63131-2329
Phone 314-996-5060 · Fax 314-996-5496
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