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Individual

EMILY KELLY KOFFEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
8330 NAAB RD STE 340, INDIANAPOLIS, IN 46260-2279
(317) 338-5100
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71008313A
IN

Other

Enumeration date
07/18/2018
Last updated
09/17/2018
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