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Organization

KIM SICKELS NURSE PRACTITIONER, LLC

Active
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Organization

KIM SICKELS NURSE PRACTITIONER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM ANNETTE SICKELS NURSE PRACTITIONER (NURSE PRACTITIONER)
(502) 939-9754
Entity
Organization

Contact information

Practice address
3103 HERITAGE HEIGHTS WAY, JEFFERSONVILLE, IN 47130-8934
(502) 939-9754
(812) 284-6550
Mailing address
3103 HERITAGE HEIGHTS WAY, JEFFERSONVILLE, IN 47130-8934
(502) 939-9754
(812) 284-6550

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4488P
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71000724A
IN

Other

Enumeration date
05/22/2007
Last updated
12/05/2007
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