Individual ProviderKimberly D CreelNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343(229) 220-2483PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly D Creel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1164888046Provider TypeIndividualFull NameCreel, Kimberly DCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/8/2016Last Updated11/4/2020Contact InformationPractice LocationPractice Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343Phone(229) 220-2483FaxUnlisted FaxMailing LocationMailing Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9315287Florida