# KIMBERLY S DOAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023344975
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3006384 | KY | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 2009006807 | KY | — |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 10/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000652647 | ANTHEM | KY |
| 01 | — | 000000912348 | ANTHEM-NIS | KY |
| 01 | — | 170502 | SIHO | KY |
| 05 | — | 200981270 | — | IN |
| 01 | — | 50082145 | PASSPORT | KY |
| 05 | — | 7100113610 | — | KY |