Individual
KIMBERLY L SKUPSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1155 N 1200 W, MIDDLEBURY, IN 46540-9372
(574) 825-3888
Mailing address
51302 SHANNON BROOK CT, GRANGER, IN 46530-7906
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28245253A
IN
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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