Individual
KIMBERLY ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 OLD STATE ROAD 46, NASHVILLE, IN 47448-9211
(812) 988-2258
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 339-8109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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