Individual
KAYLYN COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 902-6657
Mailing address
8342 QUETICO DR, INDIANAPOLIS, IN 46268-1986
(317) 902-6657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28243190A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011299A
IN
Other
Enumeration date
03/24/2021
Last updated
01/24/2022
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