Individual
MR. JEFF KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
Mailing address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 871-0010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28205564A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007327A
IN
Other
Enumeration date
01/19/2017
Last updated
04/14/2022
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