Individual
KIMBRA WEESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 TIPPECANOE ST, LAFAYETTE, IN 47904-2145
(765) 423-6400
Mailing address
1508 TIPPECANOE ST, LAFAYETTE, IN 47904-2145
(765) 423-6400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002679A
IN
Other
Enumeration date
07/18/2008
Last updated
07/08/2016
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