Individual provider · Type 1 NPI

Kimberly Jean Vanryzin, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1770964413 Active

Practice location

1701 N Senate Blvd # B401
Indianapolis, IN 46202

Call (317) 962-5975 Map

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11018313A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770964413

Kimberly Jean Vanryzin, MD's National Provider Identifier is 1770964413, issued on Jun 17, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 10, 2018.