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1467443036
KIMBERLY S PENLAND
FORT WAYNE, IN
NPI
1467443036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71001183A)
Enumeration Date
2005-11-02
Last Update Date
2022-10-14
Business Address
KIMBERLY S PENLAND FNP-BC, P.h.D.
5110 N CLINTON ST
FORT WAYNE, IN 46825-5720
Phone number: 260-469-6605
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Mailing Address
KIMBERLY S PENLAND FNP-BC, P.h.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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