Provider Demographics
NPI:1538244223
Name:QUESENBERRY, KIMBERLY C (RN CERT DIABETES EDU)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:C
Last Name:QUESENBERRY
Suffix:
Gender:F
Credentials:RN CERT DIABETES EDU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 942
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047
Mailing Address - Country:US
Mailing Address - Phone:406-222-1111
Mailing Address - Fax:406-222-5799
Practice Address - Street 1:126 SOUTH MAIN
Practice Address - Street 2:COMMUNITY HEALTH PARTNERS
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047
Practice Address - Country:US
Practice Address - Phone:406-222-1111
Practice Address - Fax:406-222-5799
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN23309163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator