Individual
KATENDI KANEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6910 N MAIN ST UNIT 52, GRANGER, IN 46530-8412
(574) 231-6766
(833) 249-2411
Mailing address
52021 CLOVERLEAF DR W, SOUTH BEND, IN 46637-6034
(574) 231-6766
(833) 249-2411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011886A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71011866A
APRN LICENSE
IN
Enumeration date
11/18/2021
Last updated
01/08/2022
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