Individual
KIMBERLY EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1100 SOUTHFIELD DR STE 1240, PLAINFIELD, IN 46168-4499
(317) 837-6082
Mailing address
1100 SOUTHFIELD DR STE 1240, PLAINFIELD, IN 46168-4499
(317) 837-6082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005371A
IN
363L00000X
Nurse Practitioner
71005371B
IN
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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