Individual
MRS. KIMBERLY A ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
1633 N CAPITOL AVE. STE 750, INDIANAPOLIS, IN 46202-1270
(317) 963-0953
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 445-6453
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006710A
IN
363LF0000X
Family Nurse Practitioner
ARNP9387814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013829300
—
FL
Enumeration date
10/20/2014
Last updated
04/10/2017
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