Provider Demographics
NPI:1275740946
Name:FLOWERS, KIM DUGGAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:DUGGAN
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 396I
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:ID
Mailing Address - Zip Code:83847-9728
Mailing Address - Country:US
Mailing Address - Phone:208-267-1591
Mailing Address - Fax:
Practice Address - Street 1:1233 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2926
Practice Address - Country:US
Practice Address - Phone:307-577-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY19457163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation