Individual
KATHY T KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8888 KEYSTONE XING # 1385, INDIANAPOLIS, IN 46240-4609
(317) 654-2609
Mailing address
8888 KEYSTONE XING # 1385, INDIANAPOLIS, IN 46240-4609
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBD
—
IN
Enumeration date
12/08/2022
Last updated
12/08/2022
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