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NICOLE RENAE KIRBY KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
112 HOSPITAL LN, SUITE 200, DANVILLE, IN 46122-1977
(317) 745-3366
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01074094A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11015672A
IN

Other

Enumeration date
06/14/2010
Last updated
03/08/2021
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