Individual
MRS. KIRSTEN O'BLOCK BETKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10012 CALUMET AVE STE A, MUNSTER, IN 46321
(219) 227-5119
Mailing address
10012 CALUMET AVE STE A, MUNSTER, IN 46321-4055
(219) 227-5119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005612A
IN
Other
Enumeration date
11/12/2014
Last updated
10/01/2019
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