Individual
KIMBERLY SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W HWY 46, SPENCER, IN 47460
(812) 585-1629
Mailing address
4788 BRAYSVILLE RD, SPENCER, IN 47460-5040
(812) 585-1629
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
28240430A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28240430A
RN
IN
Enumeration date
07/16/2021
Last updated
07/16/2021
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