Individual
KATHLEEN LYNN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OMT
Contact information
Practice address
1545 J ST, BEDFORD, IN 47421-3839
(812) 583-6565
Mailing address
2320 30TH ST, BEDFORD, IN 47421-5416
(812) 583-6565
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
13006702A
IN
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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