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Individual

KIMBERLY DRIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9328 W SWIMMING HOLE LN, PENDLETON, IN 46064-8660
(765) 278-9804
Mailing address
9328 W SWIMMING HOLE LN, PENDLETON, IN 46064-8660
(765) 278-9804

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA1705005
IN
376J00000X
Homemaker
HHA1705005
IN
376K00000X
Nurse's Aide
Primary
CNA1403549
IN
385H00000X
Respite Care
CNA1403549
IN

Other

Enumeration date
07/20/2019
Last updated
07/20/2019
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