Individual
KIMBERLY DELP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2693
Mailing address
58121 COUNTY ROAD 23, GOSHEN, IN 46528-7714
(574) 364-2693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008264
IL
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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