Individual
ALICIA M KORNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 732-0050
(317) 732-0050
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28277324A
IN
367500000X
Certified Registered Nurse Anesthetist
RN590353
PA
Other
Enumeration date
10/24/2014
Last updated
10/13/2022
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