Individual
MRS. CASSIDY JO KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 DRAKE RD, KENDALLVILLE, IN 46755-2007
(260) 347-0100
Mailing address
415 DRAKE RD, KENDALLVILLE, IN 46755-2007
(260) 347-0100
(260) 347-7168
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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