Individual
KATHRYN DILDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
1125 W JEFFERSON ST, STE S200, FRANKLIN, IN 46131-2140
(317) 346-7934
(317) 738-0737
Mailing address
1125 W JEFFERSON ST, STE S200, FRANKLIN, IN 46131-2140
(317) 738-0630
(317) 738-0737
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
28066212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200871750
—
IN
01
—
28066212A
LICENSE
IN
Enumeration date
09/26/2007
Last updated
04/28/2016
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