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Individual

MARY LUCINA KESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNS-BC, APRN

Contact information

Practice address
815 SCHNIER ST, COLUMBUS, IN 47201-2619
(812) 376-5780
(812) 376-5781
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28135030A
IN
163WD0400X
Diabetes Educator Registered Nurse
79000009A
IN
364S00000X
Clinical Nurse Specialist
70000150A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
70000150A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200308740A
IN
Enumeration date
11/15/2006
Last updated
09/09/2024
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