Individual
KATHLEEN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-1260
Mailing address
1250 N 1100 E, SHERIDAN, IN 46069-9034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28174714A
IN
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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