Individual
MRS. LAURA KEGERREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E SOUTHPORT RD, INDIANAPOLIS, IN 46227-8590
(317) 780-5855
Mailing address
610 E SOUTHPORT RD, INDIANAPOLIS, IN 46227-8590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000321A
IN
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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