Individual
KIMBERLY R MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1813 WILLOW ST, VINCENNES, IN 47591-4276
(812) 882-0894
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 969-2687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28156992A
KY
363L00000X
Nurse Practitioner
Primary
71005815A
IN
Other
Enumeration date
08/31/2015
Last updated
11/02/2016
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