Individual
JOY DAVIS KANNOOKADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001455A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2021
Last updated
10/15/2025
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