IndividualActive
Kimberly Black, RN
NPI 1174042634 · General Practice Registered Nurse · Indianapolis, IN
Provider details
- NPI number
- 1174042634
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 28097369A (IN)
Specialties & taxonomies
Nursing Service Providers
Practice location
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone: (317) 509-5321
Approximate (ZIP-level) locationGet directions
Mailing address
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Registry dates
- Enumerated
- 2017-09-15
- Last updated
- 2017-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.