Individual
KACIE N HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8100
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0000000
IN
208D00000X
General Practice Physician
10004550A
IN
363A00000X
Physician Assistant
Primary
10004550A
IN
Other
Enumeration date
09/03/2024
Last updated
01/15/2025
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