Individual
KENDRA A MISBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1601 MEDICAL ARTS BLVD, STE 102, ANDERSON, IN 46011-3434
(765) 298-4545
(765) 298-4945
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004574A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201183850
—
IN
01
—
P01403068
RAILROAD MEDICARE
IN
Enumeration date
07/29/2013
Last updated
04/03/2015
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