Individual
ALYSSA GRACE KUSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(877) 906-9699
Mailing address
6687 WIMBLEDON DR, ZIONSVILLE, IN 46077-9153
(317) 694-6230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
05/19/2021
Last updated
06/03/2024
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