Individual
ANGELA MARIE KAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4353
Mailing address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 767-6078
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IN
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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