Individual
KIMBERLY EWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
523 W PARKS DR, RENSSELAER, IN 47978-3059
(219) 863-4979
Mailing address
523 W PARKS DR, RENSSELAER, IN 47978-3059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28271510A
IN
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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