Ms. Kimberly Elaine Ross
Nurse Practitioner - Family Medicine
404 W Walnut St
Princeton
, Indiana 47670-1252
Ms. Kimberly Elaine Ross
Nurse Practitioner - Family Medicine
404 W Walnut St
Princeton
, Indiana 47670-1252
(812) 677-6809
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ms. Kimberly Elaine Ross
- 404 W Walnut St
- Princeton, IN
- Zip : 47670-1252
- Phone : (812) 677-6809
Second Address
- Ms. Kimberly Elaine Ross
- 404 W Walnut St
- Princeton, IN
- Zip : 47670-1252
- Phone : (812) 677-6809
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 71007768A | IN |
National Provider Identifier
| NPI | 1003323106 |
|---|---|
| Provider Name | Ms. Kimberly Elaine Ross |
| First Address | Princeton, IN 47670-1252 |
| Second Address | Princeton, IN 47670-1252 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2018 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.