Healthcare Provider Details

I. General information

NPI: 1083555999
Provider Name (Legal Business Name): APRIL DAWN KIMBALL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W LINCOLN AVE
AVA MO
65608-5567
US

IV. Provider business mailing address

PO BOX 865
AVA MO
65608-0865
US

V. Phone/Fax

Practice location:
  • Phone: 417-683-6790
  • Fax: 417-683-6770
Mailing address:
  • Phone: 417-683-6790
  • Fax: 417-683-6770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026014783
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: