Individual
KATHLEEN MARIE KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 W 16TH ST STE 2800, INDIANAPOLIS, IN 46202-2279
(317) 963-7308
(317) 963-7325
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20043198A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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