Individual
KIMBERLY BRECK VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 S ALABAMA ST, INDIANAPOLIS, IN 46204-3635
(317) 327-1574
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010622A
IN
Other
Enumeration date
11/23/2020
Last updated
10/02/2025
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