Individual provider · Type 1 NPI

Kimberly Sue Black, RN

General Practice Registered Nurse · Indianapolis, IN

NPI number 1174042634 Active

Practice location

7150 Clearvista Dr
Indianapolis, IN 46256-1695

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X28097369A (IN)

General Practice Registered Nurse: Definition to come...

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About NPI 1174042634

Kimberly Sue Black, RN's National Provider Identifier is 1174042634, issued on Sep 15, 2017. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 15, 2017.