Individual
KATHY JANE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1277 RUSSELL RD, CHANDLER, IN 47610-9692
(812) 588-2277
Mailing address
1277 RUSSELL RD, CHANDLER, IN 47610-9692
(812) 588-2277
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
05/20/2020
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