Individual
HENRY KIRORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 ARCADE AVE STE 400, ELKHART, IN 46514-2487
(574) 522-2284
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014664A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300084816
—
IN
Enumeration date
09/18/2023
Last updated
01/23/2024
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