Koors, Kimberly L

Koors, Kimberly L is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koors, Kimberly L can be contacted via phone (765) 751-1720.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 751-1720
Fax: (765) 281-6567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28199727A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28199727A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008676A Indiana

Profile Details

NPI number 1952875734
LBN Legal business name Koors, Kimberly L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Aug 16th, 2023 - about last year

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 1952875734 NPPES
Indiana MEDICAID 300022855
Indiana Other 266430763
Indiana Other 267030172

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