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Individual
KATHLEEN A CARLSON
Active
Individual
KATHLEEN A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
71000108A
IN
363L00000X
Nurse Practitioner
71000108
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
071000108A
IN
Other
Enumeration date
06/14/2006
Last updated
03/08/2023
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