Individual
MRS. KIMBERLY ANN GOLETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1260 INNOVATION PKWY, GREENWOOD, IN 46143-3601
(317) 884-5200
(317) 884-5360
Mailing address
1260 INNOVATION PKWY, GREENWOOD, IN 46143-3601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000544A
IN
363A00000X
Physician Assistant
50002290
OH
Other
Enumeration date
05/28/2006
Last updated
05/08/2024
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