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Individual

KATHARINE L KROL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2403 LOY DR, LAFAYETTE, IN 47909-2701
(765) 448-8000
(765) 446-4351
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01028631A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000083148
BCBS PIN
05
100362900
IN
01
300075935
RAILROAD MEDICARE PIN
Enumeration date
07/18/2006
Last updated
07/23/2012
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