Individual
KATHLEEN MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3611 S REED RD, KOKOMO, IN 46902-3806
(800) 777-7775
Mailing address
10845 GRIFFITH PEAK DR # 2, LAS VEGAS, NV 89135-1553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000337
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200181320
—
IN
Enumeration date
05/03/2007
Last updated
01/08/2025
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