Pflughaupt, Kimberly Kaye

Pflughaupt, Kimberly Kaye is an individual health care provider with primary practice located at 3777 N Frontage Rd Ste 500 , Michigan City IN 46360-7697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pflughaupt, Kimberly Kaye can be contacted via phone (219) 809-2889.

Contact Information

Primary practice address
3777 N Frontage Rd Ste 500 Michigan City IN 46360-7697
Phone: (219) 809-2889
Fax: (219) 878-0711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002221 Indiana

Profile Details

NPI number 1447357199
LBN Legal business name Pflughaupt, Kimberly Kaye
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Sep 24th, 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 1447357199 NPPES
Indiana Other 000000513063 ANTHEM, BCBS
Indiana MEDICAID 200840440 ANTHEM, BCBS

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