Individual
MRS. KIMBERLY ROBIN VLCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N LINDBERG ST, GRIFFITH, IN 46319-2120
(219) 595-5384
Mailing address
430 N LINDBERG ST, GRIFFITH, IN 46319-2120
(219) 595-5384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5370-00-4138
IN
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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