Individual
MRS. KEVIN JO PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6239 S EAST ST STE G, INDIANAPOLIS, IN 46227-2088
(317) 561-1888
Mailing address
6239 S EAST ST STE G, INDIANAPOLIS, IN 46227-2088
(317) 561-1888
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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