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Individual

KRISTEN S SIMPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01074370A
IN
208000000X
Pediatrics Physician
Primary
01074370A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201246880
IN
01
P01405421
MEDICARE RR
IN
Enumeration date
04/18/2011
Last updated
11/27/2023
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