Individual
KIMBERLY B CROMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7334
(260) 435-7748
Mailing address
PO BOX 8857, FORT WAYNE, IN 46898-8857
(260) 969-6200
(260) 969-6201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003327A
IN
Other
Enumeration date
05/11/2010
Last updated
09/05/2014
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