Individual
KELLI JOAN MANIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
355 W 16TH ST STE 4700, INDIANAPOLIS, IN 46202-2285
(317) 963-7408
Mailing address
355 W 16TH ST STE 4700, INDIANAPOLIS, IN 46202-2285
(317) 963-7408
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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