Acton, Kimberlee Lynn

Acton, Kimberlee Lynn is an individual health care provider with primary practice located at 2120 Rieth Blvd Ste C , Goshen IN 46526-5858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Acton, Kimberlee Lynn can be contacted via phone (574) 875-6911.

Contact Information

Primary practice address
2120 Rieth Blvd Ste C Goshen IN 46526-5858
Fax: (574) 875-6911
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008284A Indiana

Profile Details

NPI number 1225510522
LBN Legal business name Acton, Kimberlee Lynn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2018
Last updated Jul 11th, 2025 - 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 1225510522 NPPES
Indiana MEDICAID 300018266

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