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

Mrs. Kimberly Marie Wickline, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1376200733

Mrs. Kimberly Marie Wickline, AGNP is an Adult Health Nurse Practitioner in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

15945 Clayton Rd Ste 340
Ballwin, MO 63011-2492
Phone: (636) 256-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2021043381 (MO)

Record details

NPI number1376200733
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedNovember 19, 2021
Last updated in NPPESFebruary 8, 2022
Certification dateJanuary 29, 2022

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