Individual
DR. CATHERINE M. DECLEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
608 E BOULEVARD, KOKOMO, IN 46902-2286
(765) 453-5005
(765) 453-8937
Mailing address
608 E BOULEVARD, KOKOMO, IN 46902-2286
(765) 453-5005
(765) 453-8937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002524A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341590
—
IN
Enumeration date
08/16/2005
Last updated
11/06/2014
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