Individual
KATHLEEN BLANTON HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1400 N RITTER AVE, SUITE #211, INDIANAPOLIS, IN 46219-3052
(317) 355-6915
(317) 355-6916
Mailing address
1400 N RITTER AVE, SUITE #211, INDIANAPOLIS, IN 46219-3052
(317) 355-6915
(317) 355-6916
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26020671A
IN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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