Individual
KIMBERLEE LYNN ACTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2120 RIETH BLVD STE C, GOSHEN, IN 46526-5858
(574) 875-6911
(574) 875-6911
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008284A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018266
—
IN
Enumeration date
09/04/2018
Last updated
07/11/2025
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