Individual
ALLISON KADERABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403
(812) 676-4542
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 676-4542
(812) 676-4106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01080928A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2014
Last updated
08/03/2018
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