Individual
MRS. KIMBERLY DAWN CHADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1700 LAFAYETTE RD., CRAWFORDSVILLE, IN 47933
(765) 376-1700
Mailing address
PO BOX 276, NEW MARKET, IN 47965-0276
(765) 866-1484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36000388A
IN
Other
Enumeration date
09/20/2006
Last updated
03/15/2017
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