Individual
DR. KIMBERLY JO LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 W OAK ST, SUITE 500, ZIONSVILLE, IN 46077-1826
(317) 708-3708
(317) 733-4422
Mailing address
1500 W OAK ST, SUITE 500, ZIONSVILLE, IN 46077-1826
(317) 708-3708
(317) 733-4422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01040586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100467650
—
IN
Enumeration date
11/22/2005
Last updated
04/15/2011
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