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KIMBERLY A SNYDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
1250 CHESTER BLVD, SUITE 2, RICHMOND, IN 47374-1943
(765) 935-8581
(765) 935-1171
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8581
(765) 935-1171

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000483
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000833341
ANTHEM
IN
05
200330170
IN
Enumeration date
12/02/2005
Last updated
05/19/2021
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