Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Suzzane Blackwell, PA-C

Individual provider Physician Assistant · NPI 1013098342

Kimberly Suzzane Blackwell, PA-C is a Physician Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8326 Naab Rd
Indianapolis, IN 46260-1920
Phone: (317) 871-0000
Fax: (317) 871-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000609A (IN)

Record details

NPI number1013098342
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021

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