Individual
KEOAMBI LUMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 BERNIE DR, INDIANAPOLIS, IN 46229
(317) 622-8422
Mailing address
2226 BERNIE DR, INDIANAPOLIS, IN 46229
(317) 622-8422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28187284A
IN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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