Individual
KARON KLEM NOWAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4801 W BETHEL AVE, MUNCIE, IN 47304-5510
(765) 288-7744
(765) 282-0741
Mailing address
4801 W BETHEL AVE, MUNCIE, IN 47304-5510
(765) 288-7744
(765) 282-0741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002429
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240890001
DMERC
—
Enumeration date
10/04/2005
Last updated
09/25/2018
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