Individual
KIMBERLY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
9112 COLUMBIA AVE, MUNSTER, IN 46321-2925
(219) 836-5040
(219) 836-6835
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.014787
IL
363LF0000X
Family Nurse Practitioner
Primary
71015908A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300098151
—
IN
Enumeration date
10/04/2016
Last updated
12/02/2024
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