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Individual

BRETT ALLEN KOTOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGPCNP

Contact information

Practice address
2010 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1222
(317) 924-5821
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 483-9300

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28230200A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2019
Last updated
02/16/2024
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