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NPI Code Detail

MEDICARE: KIMBERLY JUNE OLIVER

MEDICARE: KIMBERLY JUNE OLIVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548010366
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY JUNE OLIVER
Provider Business Mailing Address
First Line : 3901 W 86TH ST STE 360
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1799
Country : US
Telephone Number : 317-798-0238
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W 86TH ST STE 360
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1799
Country : US
Telephone Number : 317-798-0238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 07/15/2024

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Directions to “ KIMBERLY JUNE OLIVER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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