Individual
BLYTHE KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
(317) 957-2120
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 788-9769
(317) 781-4868
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
09000208A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71003582A
IN
367A00000X
Advanced Practice Midwife
Primary
09000208A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201019740
—
IN
Enumeration date
03/18/2011
Last updated
05/27/2025
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