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Individual

KIMBERLY SUE STULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
705 N RILEY AVE, INDIANAPOLIS, IN 46201-2923
(317) 944-0233
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
28137802A
IN

Other

Enumeration date
04/15/2013
Last updated
11/18/2020
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