Individual
KERI LEEANN WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
(219) 922-2535
Mailing address
329 RICHMOND RD, VALPARAISO, IN 46383-9553
(219) 405-1839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28159155A
IN
Other
Enumeration date
04/07/2018
Last updated
02/08/2023
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