Individual
KACEY DAYLE LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(219) 863-1416
Mailing address
223 N INDIANA ST, REMINGTON, IN 47977-8791
(219) 863-1416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28284842A
IN
163W00000X
Registered Nurse
28284842C
IN
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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