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Individual

DIANE M KOLODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8 N US 31 STE A, WHITELAND, IN 46184-1546
(317) 736-6133
(317) 736-6403
Mailing address
1155 W JEFFERSON ST, SUITE 101, FRANKLIN, IN 46131-2730
(317) 736-6133
(317) 736-6403

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039146
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110051242
RAILROAD MEDICARE
IN
Enumeration date
01/22/2007
Last updated
05/11/2021
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