Individual
KATHRYN RAE FELDHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8051 S EMERSON AVE STE 365, INDIANAPOLIS, IN 46237-0011
(317) 851-2331
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-4171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28222744A
IN
363L00000X
Nurse Practitioner
71012725A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012725A
IN
Other
Enumeration date
04/17/2022
Last updated
01/05/2026
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