Individual
KAMIAHA PINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11120 FALL DR, INDIANAPOLIS, IN 46229-1969
(317) 679-5459
Mailing address
11120 FALL DR, INDIANAPOLIS, IN 46229-1969
(317) 679-5459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27072208A
IN
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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