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NPI Code Detail

MEDICARE: KIMBERLY S HOUCHENS

MEDICARE:   KIMBERLY S HOUCHENS
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
1363LF0000XFamily Nurse Practitioner71007776AIN
2363LF0000XFamily Nurse Practitioner3011640KY

General Provider Information

NPI Number : 1861991176
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY S HOUCHENS
Provider Business Mailing Address
First Line : 55 HATCHETTS HILL RD
Second Line :
City : OLD LYME
State : CT
Zip : 06371-1534
Country : US
Telephone Number : 800-370-3651
Fax Number : 877-515-7147
Provider Business Practice Location Address
First Line : 135 N PENNSYLVANIA ST STE 1610
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-2448
Country : US
Telephone Number : 800-370-3651
Fax Number : 877-515-7147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2018
Last Update Date : 09/30/2021

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Directions to “ KIMBERLY S HOUCHENS ” Practice Location

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