Individual provider · Type 1 NPI

Kimberly Nieukirk

Psychiatric/Mental Health Registered Nurse · Bloomington, IL

NPI number 1073943791 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Mailing address

908 W Broadmoor St
Peoria, IL 61614-3410

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	041234797 (IL)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1073943791

Kimberly Nieukirk's National Provider Identifier is 1073943791, issued on Nov 15, 2013. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Bloomington, IL. The record was last updated on Nov 15, 2013.