Individual provider · Type 1 NPI

Bonnelia M. Kimble, APRN

Nurse Practitioner · Louisville, KY

NPI number 1912928862 Active

Practice location

6420 Dutchmans Pkwy, Suite 200
Louisville, KY 40205-3372

Fax (502) 891-8338

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4268P (KY)
Nurse Practitioner Primary 363L00000X3004268 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1912928862

Bonnelia M. Kimble, APRN's National Provider Identifier is 1912928862, issued on Jul 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Louisville, KY. The record was last updated on Jan 20, 2021.