Individual
KIMBERLY ANN KEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1633 N CAPITOL AVE, STE 322, INDIANAPOLIS, IN 46202-1476
(317) 962-2929
(317) 962-2070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000536A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380347
ANTHEM BCBS
IN
05
—
200348600
—
IN
01
—
P00968352
RAILROAD MEDICARE
IN
Enumeration date
04/03/2007
Last updated
02/04/2021
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