# BUILT BY WIKOFF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427773498
- **Authorized official:** ASHLEY EAVES RD (CLINICIAN)
- **Authorized official phone:** (317) 999-7853

## Contact information

- **Practice address:** 928 E MINNESOTA ST, INDIANAPOLIS, IN 46203-3920
- **Practice address phone:** (317) 999-7853
- **Mailing address:** 928 E MINNESOTA ST, INDIANAPOLIS, IN 46203-3920
- **Mailing address phone:** (317) 999-7853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 10/11/2022