Organization
TIMECERTIAN W, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KNEPP (ADMINISTRATOR)
(317) 925-2200
Entity
Organization
Contact information
Practice address
1055 S HUNT ST, TERRE HAUTE, IN 47803-9702
(317) 925-2200
Mailing address
1950 W 86TH ST, INDIANAPOLIS, IN 46260-2035
(317) 925-2200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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