Organization
JASPER HEALTH WORX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI LAMPERT (DIRECTOR OF COMPLIANCE)
(812) 482-1041
Entity
Organization
Contact information
Practice address
6402 E INDUSTRIAL LN, LEAVENWORTH, IN 47137-8316
(877) 291-6488
(812) 481-0280
Mailing address
819 WERNSING RD, JASPER, IN 47546-8141
(877) 291-6488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71003375C
APRN-CASSANDRA KERN FUHS
IN
01
—
71009742B
APRN-HILARY BONILLA
IN
Enumeration date
09/08/2022
Last updated
09/08/2022
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