Individual
KATHRYN M MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 CAMBY CT, GREENWOOD, IN 46142-4085
(317) 881-8737
(317) 881-8735
Mailing address
401 CAMBY CT, GREENWOOD, IN 46142-4085
(317) 881-8737
(317) 881-8735
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
MM1987164
IN
Other
Enumeration date
07/15/2009
Last updated
05/23/2011
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