Handrock, Kimberly S

Handrock, Kimberly S is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 415 , Lebanon IN 46052-8621. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Handrock, Kimberly S can be contacted via phone (765) 485-8900.

Contact Information

Primary practice address
2705 N Lebanon St Ste 415 Lebanon IN 46052-8621
Phone: (765) 485-8900
Fax: (765) 485-8909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28152774A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71001322A Indiana

Profile Details

NPI number 1952470106
LBN Legal business name Handrock, Kimberly S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Oct 11th, 2023 - about 3 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 1952470106 NPPES
Indiana MEDICAID 300069096

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