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KIMBERLY RAENELL POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2907 S MCINTIRE DR STE A, BLOOMINGTON, IN 47403-4224
(812) 332-8765
(812) 336-3425
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
(317) 859-7220

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28222816A
IN

Other

Enumeration date
10/14/2021
Last updated
05/01/2025
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