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Individual
KIMBERLY MARIE MORAN
Active
Individual
KIMBERLY MARIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28128529A
IN
363LA2200X
Adult Health Nurse Practitioner
71007189A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71007189A
IN
363LP2300X
Primary Care Nurse Practitioner
71007189A
IN
Other
Enumeration date
02/16/2017
Last updated
09/23/2026
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