Individual
KALYN SYNESAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 204-1122
(765) 205-8322
Mailing address
156 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 204-1122
(765) 205-8322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28226867A
IN
363L00000X
Nurse Practitioner
Primary
71010421A
IN
Other
Enumeration date
11/16/2019
Last updated
12/08/2020
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