Individual
KATHLEEN GHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2340 E 10TH ST, INDIANAPOLIS, IN 46201-2008
(317) 633-7360
(317) 633-7302
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 788-9769
(317) 781-4868
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196970
—
IN
Enumeration date
10/20/2005
Last updated
09/08/2011
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