Individual
KATHRYN PUZZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-8943
Mailing address
PO BOX 12816, BELFAST, ME 04915-4019
(317) 583-3444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-010058
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2022
Last updated
04/02/2026
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