Individual
DR. KIMBERLY ANNE MONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
02004748A
IN
2084N0400X
Neurology Physician
1549
SC
2084N0400X
Neurology Physician
Primary
300649
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000971239
ANTHEM
IN
05
—
03688231
—
MS
05
—
201329690
—
IN
05
—
2409344
—
LA
Enumeration date
07/29/2006
Last updated
05/19/2016
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