Individual
KAREN DUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
703 N MAIN ST, KOUTS, IN 46347-9692
(219) 766-3131
(219) 766-0303
Mailing address
703 N MAIN ST, KOUTS, IN 46347-9692
(219) 766-3131
(219) 766-0303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329173
PROVIDER BCBS NUMBER
IN
01
—
P0011476
RAILROAD PROVIDER NUMBER
IN
Enumeration date
12/19/2006
Last updated
11/29/2011
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