Individual
KIMBERLY L POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6020 CRAWFORDSVILLE RD STE 102, INDIANAPOLIS, IN 46224-3710
(317) 957-2070
(317) 957-2560
Mailing address
3403 E RAYMOND STREET, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28191368A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009540A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032899
—
IN
Enumeration date
03/02/2018
Last updated
04/02/2025
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