Individual
KIMBERLY S DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 202, LOUISVILLE, KY 40241-2861
(502) 891-8300
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006384
KY
363LA2100X
Acute Care Nurse Practitioner
2009006807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652647
ANTHEM
KY
01
—
000000912348
ANTHEM-NIS
KY
01
—
170502
SIHO
KY
05
—
200981270
—
IN
01
—
50082145
PASSPORT
KY
05
—
7100113610
—
KY
Enumeration date
10/28/2009
Last updated
10/23/2020
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