Individual
MRS. KIMBERLEY SUE STRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
625 N. UNION STREET, KOKOMO, IN 46901-2907
(765) 252-0530
(765) 450-6664
Mailing address
3500 DEPAUW BOULEVARD, SUITE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002242A
IN
225XP0200X
Pediatric Occupational Therapist
31002242A
IN
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375491
ANTHEM
IN
05
—
200533240
—
IN
05
—
200533250
—
IN
Enumeration date
02/22/2007
Last updated
11/21/2016
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