Individual
MS. KIMBERLY ELAINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
404 W WALNUT ST, PRINCETON, IN 47670-1252
(812) 677-6809
Mailing address
404 W WALNUT ST, PRINCETON, IN 47670-1252
(812) 677-6809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28083811A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007768A
IN
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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