| NPI | 1265876247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J MILLS Owner/President 812-378-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 7100882A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01024487) |
| 207Q00000X Family Medicine (Licence: IN 01024444) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003260A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004174A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004169A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003618A) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |