Individual
KIMBERLY J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8244 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-9575
(317) 272-7500
(317) 272-7515
Mailing address
8244 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-9575
(317) 272-7500
(317) 272-7515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000882B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200545530
—
IN
Enumeration date
07/07/2006
Last updated
11/27/2012
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