Individual
KRISTINE FOLKERTS VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9669 E 146TH ST STE 250, NOBLESVILLE, IN 46060
(317) 621-9926
(317) 621-9676
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073876A
IN
208000000X
Pediatrics Physician
Primary
01073876A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201096640
—
IN
Enumeration date
04/18/2011
Last updated
11/27/2023
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