NPI 1376167676

Kimberly Vinyard, MA

Practitioner Technician High Ridge, MO

Practice location

Address: 1817 Gravois Rd, High Ridge, MO 63049-2668
Phone: (636) 376-0079
Mailing address: 227 Main St, Festus, MO 63028-1952

Registered specialties (2)

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1376167676
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2020
Record last updated: 12 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.