Individual
COURTNEY NICOLE KASSENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
54 MONUMENT CIR, STE 125, INDIANAPOLIS, IN 46204-2942
(317) 631-1200
(317) 631-1600
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003843
IN
Other
Enumeration date
07/08/2014
Last updated
07/21/2022
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