Individual
KIMBERLY KEYES BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002433A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024280
—
IN
Enumeration date
05/22/2018
Last updated
11/23/2025
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