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Individual

ANGELA CHRISTINE KAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1750
(574) 647-1748
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001767A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300008495
IN
Enumeration date
11/21/2014
Last updated
06/05/2025
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