Kiesel, Kim T.

Kiesel, Kim T. is an individual health care provider with primary practice located at 8333 Naab Rd Ste 400 , Indianapolis IN 46260-1992. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Kiesel, Kim T. can be contacted via phone (317) 338-6666.

Contact Information

Primary practice address
8333 Naab Rd Ste 400 Indianapolis IN 46260-1992
Phone: (317) 338-6666
Fax: (317) 338-6066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71001202A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001202A Indiana

Profile Details

NPI number 1457319592
LBN Legal business name Kiesel, Kim T.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 30th, 2014 - about 10 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 1457319592 NPPES
Indiana MEDICAID 200352650

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