Individual
MRS. JULIE K KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3400 LAFAYETTE ROAD, SUITE 200, INDIANAPOLIS, IN 46222-1147
(317) 291-7422
(317) 291-7433
Mailing address
3400 LAFAYETTE ROAD, SUITE 200, INDIANAPOLIS, IN 46222-1147
(317) 291-7422
(317) 291-7433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004887A
IN
Other
Enumeration date
03/20/2014
Last updated
02/09/2015
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