person
Kim M Huckaby, NP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1861815912

Kim M Huckaby is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Kim M Huckaby practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Kim M Huckaby is 1861815912 and holds a License No. 71004769A (Indiana).

The current practice location address for Kim M Huckaby is 8177 Clearvista Pkwy, Indianapolis, IN and can be reached out via phone at 317-621-7801 and via fax at 317-621-7205.

Location: 8177 Clearvista Pkwy, Indianapolis, IN, 46250-2890
person
Provider Profile Details
NPI Number
1861815912
Provider Name
Kim M Huckaby
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8177 Clearvista Pkwy, Indianapolis, IN, 46250-2890
Phone Number
317-621-7801
Fax Number
317-621-7205
Provider Enumeration Date
01/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PO1307685 01 IN MEDICAID RR PTAN
201210360 05 IN
institution
Provider Business Practice Location Address Details
Address
8177 Clearvista Pkwy
City
State
Zip
46256-1662
Phone Number
317-621-7801
Fax Number
317-621-7205
person
Provider Business Mailing Address Details
Address
8177 Clearvista Pkwy
City
State
Zip
46256-1662
Phone Number
317-621-7801
Fax Number
317-621-7205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71004769A (Indiana)
Definition
Definition to come...
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