Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY ROSE AZELTON, MD
DeactivatedDR. KIMBERLY ROSE AZELTON, MD is a Family Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1972038594 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH BEND, IN
This NPI has been deactivated.
The record was deactivated on October 25, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1972038594
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2017 (6.5109289617486 yrs)
- Last Updated
- Nov 14, 2023
- Deactivated
- Oct 25, 2023
- License
-
01084056A (IN)
Practice Information
- Address
-
714 N MICHIGAN STSOUTH BEND, IN, 466011035Browse IN providers · Browse ZIP 46601
- Phone
- 5746477477
- Fax
- 5746473655
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. LORI L. CHECKLEY | M.D. | 1437152394 |
| DR. ROBERT DM LEE | M.D. | 1225031925 |
| DALE ALAN PATTERSON | M.D. | 1033115852 |
| DR. MICHELLE ANN MIGLIORE | DO | 1356349815 |
| DR. PATRICIA ANN JORDAN | MD | 1700884897 |
| DR. STEPHEN D KENNEDY | D.O. | 1700885498 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.