Individual
KIMBERLY SUE BYRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-3100
(765) 453-8165
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150813A
IN
363L00000X
Nurse Practitioner
Primary
71007503A
IN
Other
Enumeration date
08/11/2017
Last updated
01/02/2024
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