Individual
KATELYN ROSE KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8111 S EMERSON AVE STE 204, INDIANAPOLIS, IN 46237-8601
(317) 528-2555
(317) 528-2566
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002322A
IN
Other
Enumeration date
01/10/2018
Last updated
05/13/2023
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