Individual
KATHLEEN ELAINE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
152 WITTENBRAKER AVE, NEW CASTLE, IN 47362-5000
(765) 599-3100
(765) 518-5365
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28219173A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28219173A
STATE LICENSE
IN
Enumeration date
12/04/2014
Last updated
09/11/2020
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