Individual
KATHLEEN ANN MUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1950 SAINT CHARLES ST STE 4, JASPER, IN 47546-9172
(812) 482-9555
(812) 482-9073
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-8478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007314A
IN
Other
Enumeration date
05/18/2017
Last updated
09/23/2019
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