Individual provider · Type 1 NPI

Kimberly Suzzane Blackwell, PA-C

Physician Assistant · Indianapolis, IN

NPI number 1013098342 Active

Practice location

8326 Naab Rd
Indianapolis, IN 46260-1920

Call (317) 871-0000 Map

Fax (317) 871-0010

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10000609A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013098342

Kimberly Suzzane Blackwell, PA-C's National Provider Identifier is 1013098342, issued on Oct 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 10, 2021.