Moran, Kimberly Jo
Moran, Kimberly Jo is an individual health care provider with primary practice located at 205 Westfield Rd , Noblesville IN 46060-1424. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moran, Kimberly Jo can be contacted via phone (317) 770-2841.Contact Information
Primary practice address
205 Westfield Rd
Noblesville IN 46060-1424
Phone: (317) 770-2841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042261A | Indiana |
Profile Details
| NPI number | 1770749814 |
|---|---|
| LBN Legal business name | Moran, Kimberly Jo |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Jul 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770749814 | NPPES |
| Indiana | MEDICAID | 200947230 |
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