Individual
JASON R KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W MCKENZIE RD STE F, GREENFIELD, IN 46140-1072
(317) 468-4200
Mailing address
11828 TAPP DR, INDIANAPOLIS, IN 46229-9533
(317) 502-9412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010801A
IN
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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