Mcgillicuddy, Kimberly Anne

Mcgillicuddy, Kimberly Anne is an individual health care provider with primary practice located at 2451 Intelliplex Dr Suite 260 , Shelbyville IN 46176-8580. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mcgillicuddy, Kimberly Anne can be contacted via phone (317) 398-0121.

Contact Information

Primary practice address
2451 Intelliplex Dr Suite 260 Shelbyville IN 46176-8580
Phone: (317) 398-0121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007536A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71007536A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28199185A Indiana

Profile Details

NPI number 1255840401
LBN Legal business name Mcgillicuddy, Kimberly Anne
Credentials PMH-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 21st, 2022 - 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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