KIMBERLY SUE BLACK RN NPI 1174042634

NPI Information

NPI: 1174042634
Provider Name: KIMBERLY SUE BLACK, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
7150 CLEARVISTA DR
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 509-5321
Get Directions

Kimberly Sue Black, RN is a general practice registered nurse in Indianapolis, IN. Kimberly Sue Black, RN NPI is 1174042634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7150 CLEARVISTA DR
INDIANAPOLIS, IN
ZIP 46256-695
Phone: (317) 509-5321

The enumeration date for this NPI number is 9/15/2017 and was last updated on 9/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	28097369A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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