Individual
KARRIE ANN HINES THEOHARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
550 UNIVERSITY BLVD, UH 2440, INDIANAPOLIS, IN 46202-5149
(317) 274-8231
(317) 278-9918
Mailing address
PO BOX 44730, INDIANAPOLIS, IN 46244-0730
(317) 274-7879
(317) 278-9918
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000012A
IN
170300000X
Genetic Counselor (M.S.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001227229
ANTHEM PTAN
IN
01
—
000001474517
ANTHEM PTAN
IN
01
—
1356583223
ANTHEM PTAN
IN
05
—
300028065
—
IN
Enumeration date
03/24/2009
Last updated
02/13/2025
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