Individual
KIMBERLY A KICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 SIX PINE RANCH RD, BATESVILLE, IN 47006
(812) 934-5252
(812) 932-0721
Mailing address
PO BOX 236, BATESVILLE, IN 47006-0236
(812) 933-5441
(812) 933-5446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047923A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000094433
ANTHEM
IN
05
—
200155420A
—
IN
Enumeration date
08/10/2006
Last updated
03/29/2021
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