Most Relevant Information
Provider Data
| NPI Number: | 1003396672 |
| Provider Name: | KIMBERLY MCCONNELL CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 363LX0001X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11004896 |
Most Important Dates
| Enumeration Date: | 08/14/2018 |
| Last Updated: | 03/13/2020 |
Provider Practice Location
103 E 23RD ST
PANAMA CITY
FL
324054501
Practice Location Phone/Fax
| Phone: | 8507690338 |
| Fax: | 8506402195 |
Provider Mailing Location
103 E 23RD ST
PANAMA CITY
FL
324054501
Provider Mailing Phone/Fax
| Phone: | 8507690338 |
| Fax: |