Individual
KATHLEEN T NEUHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
727 E JEFFERSON BLVD, SOUTH BEND, IN 46617-2902
(574) 287-5859
(574) 287-4987
Mailing address
727 E JEFFERSON BLVD, SOUTH BEND, IN 46617-2902
(574) 287-5859
(574) 287-4987
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000788
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379720A
—
IN
Enumeration date
07/27/2005
Last updated
02/08/2018
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