Individual
MRS. KIMBERLY R HOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 CHERRYWOOD AVE, NEW CASTLE, IN 47362-1857
(765) 529-4850
(765) 529-1466
Mailing address
3001 CHERRYWOOD AVE, NEW CASTLE, IN 47362-1857
(765) 529-4850
(765) 529-1466
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
373H00000X
Day Training/Habilitation Specialist
757241
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200608040
RENDERING PHYSICIAN
IN
01
—
200707390
PROVIDER NUMBER
IN
01
—
373H00000X
TAXONOMY
IN
Enumeration date
04/04/2007
Last updated
09/20/2018
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