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Contact Information

KIMBRA L CARDWELL, ANP
4921 PARKVIEW PL
7TH FL SITEMAN CANCER CENTER
SAINT LOUIS, MO63110-1032
 Phone: 314-747-1171
 Fax: 314-362-3192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBRA L CARDWELL · (Female)

NPI # 1619187861
Status Active
Credentials ANP (Adult Nurse Practitioner)
Entity Individual
Enumeration date 05/23/2007
Last updated 11/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 135099
Hospital affiliation(s)
  • ST LUKE'S ELMORE MEDICAL CENTER - (Critical Access)
    895 NORTH 6TH EAST
    MOUNTAIN HOME, ID 83647
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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