Individual
KIMBERLY MARIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8402 HARCOURT RD STE 615, INDIANAPOLIS, IN 46260-2055
(317) 806-6991
(317) 806-6990
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28128529A
IN
363LA2200X
Adult Health Nurse Practitioner
71007189A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71007189A
IN
363LP2300X
Primary Care Nurse Practitioner
71007189A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002272
—
IN
Enumeration date
02/16/2017
Last updated
01/14/2026
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