Mills, Kimberly J

Mills, Kimberly J is an individual health care provider with primary practice located at 8244 E Us Highway 36 Suite 1100, Avon IN 46123-9575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mills, Kimberly J can be contacted via phone (317) 272-7500.

Contact Information

Primary practice address
8244 E Us Highway 36 Suite 1100 Avon IN 46123-9575
Phone: (317) 272-7500
Fax: (317) 272-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000882B Indiana

Profile Details

NPI number 1316979230
LBN Legal business name Mills, Kimberly J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 27th, 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 1316979230 NPPES
Indiana MEDICAID 200545530

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