Individual
ABBY L KOONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 281-2030
Mailing address
221 N CELIA AVE, ATTN: DEBERA BARKER, MUNCIE, IN 47303-4609
(765) 282-8905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001691A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200944940
—
IN
01
—
P01014256
RR MEDICARE
IN
Enumeration date
10/28/2005
Last updated
05/14/2021
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