Individual
MRS. KAELA FUNCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2200 GRANT ST, GARY, IN 46404-3439
(219) 763-8112
Mailing address
6056 FILLMORE PL, MERRILLVILLE, IN 46410-7602
(708) 679-4823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015219A
IN
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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