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Individual

KATHERINE CUMMINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1345 UNITY PL STE 225, LAFAYETTE, IN 47905-5762
(765) 449-2436
(765) 449-1817
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07001229A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001229A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201170910
IN
Enumeration date
06/27/2013
Last updated
03/22/2021
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