Individual
KIMBERLY KAYE PFLUGHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3777 N FRONTAGE RD STE 500, MICHIGAN CITY, IN 46360-7697
(219) 809-2889
(219) 878-0711
Mailing address
401 NEWPORTE BLVD, LA PORTE, IN 46350-2479
(219) 575-6244
(219) 380-0757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002221
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513063
ANTHEM, BCBS
IN
05
—
200840440
—
IN
Enumeration date
09/17/2006
Last updated
09/24/2020
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