Individual
KIM T. KIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8333 NAAB RD STE 400, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
(317) 338-6066
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001202A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71001202A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200352650
—
IN
Enumeration date
05/01/2006
Last updated
09/30/2014
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