Gorman, Kimberly S.

Gorman, Kimberly S. is an individual health care provider with primary practice located at 6640 Intech Blvd Suite 300, Indianapolis IN 46278-2011. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Gorman, Kimberly S. can be contacted via phone (317) 275-6404.

Contact Information

Primary practice address
6640 Intech Blvd Suite 300 Indianapolis IN 46278-2011
Phone: (317) 275-6404
Fax: (317) 275-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041566A Indiana

Profile Details

NPI number 1851329890
LBN Legal business name Gorman, Kimberly S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851329890 NPPES
Indiana MEDICAID 200316040

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