Individual
KIMRA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838
(260) 422-9372
Mailing address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838
(260) 422-9372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28123520A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71005421A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0002958-C-NP
CO
363LP2300X
Primary Care Nurse Practitioner
28123520A
IN
Other
Enumeration date
03/10/2015
Last updated
01/26/2023
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