Individual
KIMBERLY ANN RADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
(219) 836-1600
Mailing address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28169561C
IN
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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