Individual
DR. KIM M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 CHESTER BLVD, RICHMOND, IN 47374-1907
(765) 983-3300
(765) 983-7916
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045014
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077300A
—
IN
01
—
258610A
MEDICARE PTAN
IN
Enumeration date
08/28/2006
Last updated
05/19/2021
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