SearchIndiana183500000X

Kimberly Bruggeman

NPI 1316463169 · on the registry since 2017

Practice

Address
124 W Votaw St
Portland, IN 47371
Phone
(260) 726-2049
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana