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Individual

KIMBRA CLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 865-2141
Mailing address
3009 TOPAZ DR, HOBART, IN 46342-6544

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28141131-A
IN

Other

Enumeration date
10/09/2014
Last updated
10/13/2014
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