Mendez, Kimberley Kay

Mendez, Kimberley Kay is an individual health care provider with primary practice located at 510 W Adams St Ste 150 , Plymouth IN 46563-1789. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mendez, Kimberley Kay can be contacted via phone (574) 335-7900.

Contact Information

Primary practice address
510 W Adams St Ste 150 Plymouth IN 46563-1789
Phone: (574) 335-7900
Fax: (574) 335-0850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28175128A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004269A Indiana

Profile Details

NPI number 1043555394
LBN Legal business name Mendez, Kimberley Kay
Credentials MSN, RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2012
Last updated Feb 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043555394 NPPES
Indiana MEDICAID 201128480
Indiana Other 1102333420

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