Individual
MISS CAROLYNE JEPCHIRCHIR JEPKORIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5510 S EAST ST STE H, INDIANAPOLIS, IN 46227-1939
(317) 924-8425
(317) 924-8424
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(317) 924-8424
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01068942
IN
207RN0300X
Nephrology Physician
Primary
01068942A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201157080
—
IN
Enumeration date
06/21/2008
Last updated
02/02/2024
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