Individual
GLENDA D KEBORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2072 N COUNTY ROAD 700 W, RICHLAND, IN 47634-9480
(812) 359-4012
(812) 359-4481
Mailing address
2072 N COUNTY ROAD 700 W, RICHLAND, IN 47634-9480
(812) 359-4012
(812) 359-4481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005947A
IN
Other
Enumeration date
12/09/2015
Last updated
04/11/2017
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