Individual
CATHY J SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-8571
(765) 453-8637
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001940
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200527380
—
IN
01
—
P01270929
RR MEDICARE
IN
Enumeration date
11/09/2005
Last updated
11/27/2023
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