Nelson, Kimberly A

Nelson, Kimberly A is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nelson, Kimberly A can be contacted via phone (812) 355-3299.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Phone: (812) 355-3299
Fax: (812) 355-3290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000261A Indiana

Profile Details

NPI number 1174583421
LBN Legal business name Nelson, Kimberly A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 18th, 2020 - about 6 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 1174583421 NPPES
Indiana MEDICAID 200280390

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