NPI 1427537869

Kimberly Ann Rodriguez

Practitioner Prevention Professional Hillsboro, MO

Practice location

Address: 2 Merchants Dr, Hillsboro, MO 63050-5212
Phone: (636) 789-2686
Mailing address: PO Box 920, Hillsboro, MO 63050-0920

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence T981430246 (MO)

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Registry record

NPI: 1427537869
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2018
Record last updated: 7 Aug 2018

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.