Individual
MS. KAY LYNN KOLTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FAMILY NURSE PRAC
Contact information
Practice address
1600 ALBANY STREET, BEECH GROVE, IN 46107
(317) 782-7562
(317) 782-6145
Mailing address
1600 ALBANY STREET, BEECH GROVE, IN 46107
(317) 782-7562
(317) 782-6145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28100125A
IN
363LF0000X
Family Nurse Practitioner
71001059A
IN
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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