Individual
KATHRYN M GJELDUM
Active
Individual
KATHRYN M GJELDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001746A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71001746A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000594185
ANTHEM BC/BS
IN
05
—
200805880
—
IN
Enumeration date
07/14/2006
Last updated
11/06/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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