Individual
KIMBERLY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2695 SHELDON DR, WARSAW, IN 46582-6544
(574) 658-9455
(574) 658-3412
Mailing address
2695 SHELDON DR, WARSAW, IN 46582-6544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28173730A
IN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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