Individual
KIMBERLY MILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 E DUPONT RD STE 200, FORT WAYNE, IN 46825-1609
(260) 458-3760
(260) 458-3761
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28137353A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029165
—
IN
Enumeration date
06/25/2019
Last updated
12/21/2020
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