Provider Demographics
NPI:1871551838
Name:HATCHETT, KIMBERLY J (NP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:J
Last Name:HATCHETT
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19800 EAST ST STE 120
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-3833
Practice Address - Country:US
Practice Address - Phone:463-633-9200
Practice Address - Fax:463-622-9201
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71000762A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily