Fraze, Kimberly

Fraze, Kimberly is an individual health care provider with primary practice located at 2622 Lake Ave Ste 1 , Fort Wayne IN 46805-5410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fraze, Kimberly can be contacted via phone (260) 436-0932.

Contact Information

Primary practice address
2622 Lake Ave Ste 1 Fort Wayne IN 46805-5410
Phone: (260) 436-0932
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 223324 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71015408A Indiana

Profile Details

NPI number 1336500768
LBN Legal business name Fraze, Kimberly
Credentials PHARMD, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2016
Last updated Jul 11th, 2024 - about 2 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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