Individual
KIMBERLEY ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
205 TOWNEPARK CIR STE 100, LOUISVILLE, KY 40243-2318
(502) 253-4554
Mailing address
205 TOWNEPARK CIR STE 100, LOUISVILLE, KY 40243-2318
(502) 253-4554
(877) 273-4414
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
1037185
KY
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
3002534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000272732
ANTHEM PIN
KY
01
—
300136183
TAX ID USED FOR OTHER INS
KY
Enumeration date
07/11/2005
Last updated
07/25/2024
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