Individual
ELIZABETH ANN KUONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064962A
IN
208000000X
Pediatrics Physician
Primary
01064962A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200899310
—
IN
Enumeration date
05/23/2007
Last updated
02/09/2016
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