Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Bonvillain, FNP-C

Individual provider Family Nurse Practitioner · NPI 1649561788

Kimberly Bonvillain, FNP-C is a Family Nurse Practitioner in O Fallon, Missouri. Works from 2 locations. Licensed in Kentucky, Missouri and Ohio.

Licensed in
KY, MO, OH
In the registry since
2011
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

20 Progress Point Pkwy Ste 108
O Fallon, MO 63368-2207
Phone: (636) 344-2400
Fax: (636) 344-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 Burnet Ave, Cincinnati, OH 45229-3026 — (513) 636-4225

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2026019751 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4008581 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0035357 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 35357 (OH)

Record details

NPI number1649561788
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 24, 2011
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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