KIMBERLY MINICH

LA PORTE, IN
NPI1043525595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71003346A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  Pending)
Enumeration Date2010-08-09
Last Update Date2021-01-13
Business Address
KIMBERLY MINICH
602 F ST
LA PORTE, IN 46350-5526
Phone number: 219-324-1377
Mailing Address
KIMBERLY MINICH
2022 KELLE DR
CHESTERTON, IN 46304-8708
Phone number: 219-326-2312