Individual
KENNEDY CHRISTINE NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
355 W 16TH STREET ROOM 4300, INDIANAPOLIS, IN 46202-1308
(317) 963-2011
Mailing address
355 W 16TH ST STE 4300, INDIANAPOLIS, IN 46202-2394
(317) 963-2011
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11022744A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
02/05/2024
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