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Organization

UNIVERSITY OF INDIANAPOLIS

Active
Other names
Koval Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL BRAUGHTON (V PRES. FOR BUS.& FINANCE AND TREAS)
(317) 788-3301
Entity
Organization

Contact information

Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3206
(317) 788-6208
Mailing address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3206
(317) 788-6208

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
08/10/2011
Last updated
02/20/2013
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