Individual
MARY KLEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 944-0792
(317) 222-2155
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71015993A
IN
363L00000X
Nurse Practitioner
95005061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103483444
ANTHEM PTAN
IN
05
—
300099498
—
IN
Enumeration date
01/04/2017
Last updated
02/12/2025
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