Perry, Kimberly Florentine

Perry, Kimberly Florentine is an individual health care provider with primary practice located at 1231 Cumberland Xing , Valparaiso IN 46383. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Perry, Kimberly Florentine can be contacted via phone (219) 548-3843.

Contact Information

Primary practice address
1231 Cumberland Xing Valparaiso IN 46383
Fax: (219) 548-3256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01045170 Indiana

Profile Details

NPI number 1861453565
LBN Legal business name Perry, Kimberly Florentine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 14th, 2020 - about 4 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 1861453565 NPPES
Indiana Other 000000521635 ANTHEM
Indiana MEDICAID 200104750A ANTHEM
Indiana Other 5251392 ANTHEM

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