Individual
KATARZYNA KRYSTYNA KAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1861 E SUMMIT ST, CROWN POINT, IN 46307-2768
(219) 663-4450
(219) 663-4455
Mailing address
70 E 68TH PL, MERRILLVILLE, IN 46410-3506
(219) 736-2020
(219) 769-3884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18004205A
LICENSE
IN
01
—
18004205B
OPTOMETRIC LEGEND DRUG
IN
Enumeration date
11/08/2019
Last updated
11/15/2021
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