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KATELYN MOORHOUSE RECKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8040 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-5630
(800) 731-0751
Mailing address
PO BOX 6005 DEPT. 196, INDIANAPOLIS, IN 46206-6005
(866) 282-7905
(800) 731-0751

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28231042A
IN
390200000X
Student in an Organized Health Care Education/Training Program
RN9500212
FL

Other

Enumeration date
06/30/2021
Last updated
01/28/2022
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