Individual
KATHERINE MARIE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2172
Mailing address
10330 N MERIDIAN ST, SUITE 201, CARMEL, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061261A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529390
—
IN
01
—
CA6833
RAILROARD GROUP
IN
01
—
P00440409
RAILROAD INDIVIDUAL
IN
Enumeration date
12/06/2005
Last updated
12/15/2021
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