Provider Demographics
NPI:1659698256
Name:JAMES, KIMBERLY GAY (CPM)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:GAY
Last Name:JAMES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2253
Mailing Address - Country:US
Mailing Address - Phone:573-424-9115
Mailing Address - Fax:
Practice Address - Street 1:1114 SUNSET LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2253
Practice Address - Country:US
Practice Address - Phone:573-424-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife