Individual
KERRY ANN KANALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
Mailing address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27065033A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008016A
IN
Other
Enumeration date
05/12/2018
Last updated
09/15/2023
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