KIMBERLY S PENLAND

FORT WAYNE, IN
NPI1467443036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71001183A)
Enumeration Date2005-11-02
Last Update Date2022-10-14
Business Address
KIMBERLY S PENLAND FNP-BC, P.h.D.
5110 N CLINTON ST
FORT WAYNE, IN 46825-5720
Phone number: 260-469-6605
Mailing Address
KIMBERLY S PENLAND FNP-BC, P.h.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: