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Contact Information

KIMBERLY S BLACKWELL, PA-C
8326 NAAB RD
INDIANAPOLIS, IN46260-1920
 Phone: 317-871-0000
 Fax: 317-871-0010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY S BLACKWELL · (Female)

NPI # 1013098342
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/17/2006
Last updated 02/11/2015 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10000609A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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