Individual
NATHAN NAMANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3512 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-3100
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001461A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
07001461A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
09/18/2020
Last updated
12/23/2024
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