KIM T. KIESEL NP NPI 1457319592

NPI Information

NPI: 1457319592
Provider Name: KIM T. KIESEL, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
8333 NAAB RD STE 400
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-6666
Get Directions

Kim T. Kiesel, NP is an acute care nurse practitioner in Indianapolis, IN with 39 years of experience. Kim T. Kiesel, NP NPI is 1457319592. 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:

8333 NAAB RD STE 400
INDIANAPOLIS, IN
ZIP 46260-992
Phone: (317) 338-6666
Fax: (317) 338-6066

The NPI 1457319592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 9/30/2014.

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	363L00000X	Nurse Practitioner		71001202A	INDIANA	No
2	363LA2100X	Nurse Practitioner	Acute Care	71001202A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	M400015043	MEDICARE PIN	INDIANA
2	200352650	MEDICAID	INDIANA
3	P46387	MEDICARE UPIN	INDIANA
4	898190A5	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

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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