Gangwer, Kimberly

Gangwer, Kimberly is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Gangwer, Kimberly can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5177 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X CERT 92231 Indiana

Profile Details

NPI number 1063871770
LBN Legal business name Gangwer, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2016
Last updated Mar 30th, 2016 - about 10 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 1063871770 NPPES
Indiana Other 000000996847 ANTHEM PROVIDER NUMBER

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