# KROL FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1528331667
- **Authorized official:** LORI S KROL RN,MSN,FNP,BC (OWNER)
- **Authorized official phone:** (219) 956-3004

## Contact information

- **Practice address:** 165 E ROBBINS STREET, WHEATFIELD, IN 46392-6006
- **Practice address phone:** (219) 956-3004
- **Practice address fax:** (219) 956-3006
- **Mailing address:** 165 E ROBBINS ST, WHEATFIELD, IN 46392-6006
- **Mailing address phone:** (219) 956-3004
- **Mailing address fax:** (219) 956-3006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2012
- **Last updated:** 12/27/2012