Individual
KATHERINE JANE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2001 W. 86TH ST., INDIANAPOLIS, IN 46240
(317) 338-2270
Mailing address
2001 W. 86TH ST., INDIANAPOLIS, IN 46240
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002457A
IN
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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