Individual
KARISSA EICKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 W GREEN MEADOWS DR STE 110, GREENFIELD, IN 46140-3098
(317) 318-7030
(317) 318-7045
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002164A
IN
363A00000X
Physician Assistant
PA9115876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006011
—
IN
Enumeration date
09/25/2016
Last updated
05/15/2025
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