Individual
KATHRYNE WALES STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP CPNP
Contact information
Practice address
8101 CLEARVISTA PKWY STE 185, INDIANAPOLIS, IN 46256-5605
(317) 621-9000
Mailing address
8101 CLEARVISTA PKWY, STE 185, INDIANAPOLIS, IN 46256-5605
(317) 621-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28177321A
IN
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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