Individual
GRACE HAESOOK KIM TONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9202 E 116TH ST, FISHERS, IN 46037-2830
(317) 594-1300
(317) 594-1310
Mailing address
250 N SHADELAND AVE, SUITE 120, INDIANAPOLIS, IN 46219-4959
(317) 962-4792
(317) 962-4811
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28107498
IN
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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