Moran, Kimberly Marie

Moran, Kimberly Marie is an individual health care provider with primary practice located at 9894 E 121St St , Fishers IN 46037-4154. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Moran, Kimberly Marie can be contacted via phone (317) 621-4800.

Contact Information

Primary practice address
9894 E 121St St Fishers IN 46037-4154
Phone: (317) 621-4800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28128529A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71007189A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71007189A Indiana

Profile Details

NPI number 1649719154
LBN Legal business name Moran, Kimberly Marie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2017
Last updated Jul 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649719154 NPPES
Indiana MEDICAID 300002272

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