Individual
KATHERINE R BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8820 S MERIDIAN ST, STE 200, INDIANAPOLIS, IN 46217-6058
(317) 865-6750
(317) 865-6759
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000456A
IN
Other
Enumeration date
09/16/2006
Last updated
03/16/2021
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