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Individual

KIMBERLEY A ZINKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2723 S 7TH ST STE O, TERRE HAUTE, IN 47802-3562
(812) 232-1418
(812) 234-7362
Mailing address
2723 S 7TH STREET ST A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005134A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000895306
ANTHEM
IN
05
201253870
IN
01
P01453972
RAILROAD MEDICARE
IN
Enumeration date
10/02/2014
Last updated
07/31/2015
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