Individual
DR. KRISTEN BROOKE GOVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13450 N MERIDIAN ST # 135, CARMEL, IN 46032-1546
(317) 582-9355
Mailing address
13450 N MERIDIAN ST STE 135, CARMEL, IN 46032-1473
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01078778A
IN
2086X0206X
Surgical Oncology Physician
Primary
01078778A
IN
2086X0206X
Surgical Oncology Physician
2016-01400
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497042071
—
NC
05
—
NC2825
—
SC
Enumeration date
07/05/2011
Last updated
06/24/2022
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