Individual
DR. KATHRYN COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2733
Mailing address
815 GARDENBROOK CIR APT A, INDIANAPOLIS, IN 46202-4668
(812) 606-0556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013166A
IN
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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