Individual
MISS KYRA COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5570 GOODWIN ST, INDIANAPOLIS, IN 46234
(317) 456-2062
Mailing address
5570 GOODWIN ST, INDIANAPOLIS, IN 46234-9304
(317) 443-8172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014934A
IN
Other
Enumeration date
11/06/2020
Last updated
12/01/2024
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