Individual
KENYATTA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 KNUE RD, SUITE 110 GENERAL HEALTHCARE RESOURCES IN, INDIANAPOLIS, IN 46250
(317) 842-7435
(317) 842-7674
Mailing address
8060 KNUE RD, SUITE 110, INDIANAPOLIS, IN 46250
(317) 842-7435
(317) 842-7674
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
48010503137
IN
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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