Individual
DAWN KATHLEEN SIREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4152 W STATE ROAD 56, HANOVER, IN 47243-9070
(812) 762-4510
Mailing address
2345 WINSTON AVE, LOUISVILLE, KY 40205-2642
(502) 819-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013258
KY
Other
Enumeration date
04/01/2019
Last updated
02/08/2024
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