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Individual

KATELYN ELIZABETH DENAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
(317) 887-7606
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005293A
IN
363A00000X
Physician Assistant
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300130483
IN
Enumeration date
01/28/2026
Last updated
05/14/2026
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