Individual
MRS. KAITLIN ROSE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3611 S REED RD STE 108, KOKOMO, IN 46902-3828
(219) 218-6255
Mailing address
3611 S REED RD STE 108, KOKOMO, IN 46902-3828
(219) 218-6255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28258914A
IN
163W00000X
Registered Nurse
28258914C
IN
163W00000X
Registered Nurse
95332056
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
71017142A
IN
363LP0200X
Pediatric Nurse Practitioner
71017142B
IN
Other
Enumeration date
08/12/2024
Last updated
10/30/2025
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