Individual
KRISTINE KOHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, STE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
2626 E 46TH ST, STE J, INDIANAPOLIS, IN 46205-2380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28112010A
IN
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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