Individual
MRS. KIMBERLY NICOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6208 RALEIGH DR, INDIANAPOLIS, IN 46219-1623
(317) 397-1760
Mailing address
6208 RALEIGH DR, INDIANAPOLIS, IN 46219-1623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27069557A
IN
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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